Membership Application

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Membership Type

* Membership Dues & Security Assessment

Chai Society $18,000, Minyan Society $10,000, Keter Society $5,000,

Chesed Society $3,600, Couples/Family $1,450, Single $1,025, Single (under 40) $385

* Name

Hebrew Name

* Email Address

* Cell Phone

* Birthdate

Status

Occupation

Spouse's Name

Spouse's Hebrew name

Email Address

Birthdate

Status

Occupation

Cell Number

* Home address

Home Phone Number

Non-Florida Address (if applicable)

Non-Florida Phone Number

* Emergency Contact Name and Number

Children's Names and Birthdates

Yahrzeits

Name, Relationship, Hebrew Date, English Date

Total Payment

Tue, July 23 2019
20 Tammuz 5779

Today's Calendar

Shacharit

: 8:00a

Mincha/Maariv

: 6:30p

Parshat Pinchas

Candle Lighting

Friday, Jul 26, 7:53p

Havdalah

Motzei Shabbat, Jul 27, 9:01p

Shabbat Mevarchim

Shabbat, Jul 27

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Tue, July 23 2019 20 Tammuz 5779