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Membership Application

Membership Application

Join the Fifth Avenue Synagogue family!

SCHEDULE OF DUES:

Family Membership: (includes two seats for the High Holidays) $3,000
Single: (includes one seat for the High Holidays) $1,800
Out of Town Membership-Family: $1,800, Single $1,000.

Fill out the Membership Application below.


FAMILY RECORD
 
Please indicate by checking the appropriate
box if you are registering for an individual or
a family membership.
If Family, Date of marriage.



CHILDREN
 

YAHRZEIT INFORMATION
Please provide full Hebrew Name, i.e. "Yitzchok ben Avraham"/ "Dina bat Leah" 
Hebrew name may be written in Hebrew or Transliteration.

 

ALIYA INFORMATION
Please provide English and Hebrew names and relationship to you that you would like to be mentioned upon receiving an aliya.

 

Please upload a photo.
By checking this box, you agree to the terms described.
Mon, December 6 2021 2 Teves 5782