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Home > Membership > Membership Application

Membership Application

Title

* First Name

* Last Name

* I am...

Date of Birth

* Home Address

* City

* State

* Zip Code

* Home Phone

Cell

Work Number

* Primary Email Address

* Marital Status

Date of Wedding

Title

First Name

Last Name

Date of Birth

Cell

Work Number

Primary Email Address

Children under the age of 25 are included in your membership. Children 26 and older must apply for Membership on their own.

Child 1 Name

Date of Birth

Gender

BoyGirl

School Attending

Child 2 Name

Date of Birth

Gender

Boy Girl

School Attending

Child 3 Name

Date of Birth

Gender

Boy Girl

School Attending

Child 4 Name

Date of Birth

Gender

BoyGirl

School Attending

Child 5 Name

Date of Birth

Gender

BoyGirl

School Attending

Please check the areas you would like to be involved with:

Mens Daily Morning ClassesMens Evening ClassesWomens Daily Morning ClassesWomans Rosh Chodesh L'NashimShabbat Boys ClubFather & SonMother & Daughter Breakfast N' LearnCommunity Shabatons Other Programs and Events

Why are you joining? Let us know what we can offer you.

Please choose whether you will pay your Membership Contribution online or via check. If paying by check, please submit your online form and mail your check to: Sephardic Community of Greater Boston 74 Corey rd Brighton MA 02135

* Membership Type

Please Select OneFamily Membership ($500) includes 2 high holiday seatsIndividual Membership ($300) includes 1 high holiday seat

To view Member Benefits click here

Additional High Holiday Seats ($72 each)

Total Annual Membership

*PLEASE NOTE*

After submitting this form you will be directed to a payment page where you can make a selection of a payment plan of installments that works for you

* Signature

* Date

For office use only: Member ID

Fri, April 19 2024 11 Nisan 5784

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Membership Application

Membership Application