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Sunday, December 17, 2017 - 29 Kislev 5778
 
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MEMBERSHIP 5778 - 2017/2018
 
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4:16 PM in ASBURY PARK
Shabbat Ends 5:19 PM
Friday, 22 Dec 2017
Parashat 
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MEMBERSHIP 5778 - 2017/2018
Family Membership - $900

Membership includes 2 High Holidays Seats No family is ever denied synagogue membership due to financial reasons. Please discuss this issue with the Rabbi in confidence, if needed.

High Holiday seats at $180 each (additional)


Dr.   Mr.   Mrs.   Ms.

Last Name First Name
Hebrew Name Mother’s Hebrew name
Father’s Hebrew name    
Father’s Hebrew name    
Kohen Levi Israelite   Bar Mitzvah Portion
Home Address City
State Zip
Home Phone Business Phone
Cell Phone 1 Cell Phone 2
Occupation Company’s name
Business Address City
State Zip
Fax  E-Mail
DOB Wedding Anniversary

Yes, I would to receive the Torah Fax / E-mail weekly

SPOUSE Hebrew Name
Mother’s Hebrew name Father’s Hebrew name
DOB Business Phone
Occupation Company’s name
Business Address City
State Zip
Fax  E-Mail

 Yes, I would to receive the Torah Fax / E-mail weekly

Child  DOB Boy Girl
Child  DOB Boy Girl
Child  DOB Boy Girl
Grandchild DOB Boy Girl
Grandchild
DOB Boy Girl


All information will be kept confidential.
*Type the code you see in the picture below.(Letters are not case-sensitive)
     
 

 


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