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Membership Form
Please verify reCaptcha before submitting the form.
I would like to enter information for a spouse/partner
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yes
Please check yes if you have a spouse/partner who would also like to be part of the Beth Tikvah family.
Please choose your preferred title
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First Name
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Last Name
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Please choose your spouse's/partner's preferred title
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Other
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Spouse/Partner First Name
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Spouse/partner Last Name
Spouse/Partner Preferred Pronouns
He, Him
She, Her
They, Them
Other
Other
*
Email
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Email (Spouse/Partner)
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Primary Phone
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Address
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City
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State
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I am....
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My Spouse/Partner is ....
Jewish by Birth
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Please Select One
Cohen
Levi
Israelite
Please Select One (Spouse/Partner)
Cohen
Levi
Israelite
Hebrew First Name
Hebrew First Name (Spouse/Partner)
Parent 1 Hebrew name
Parent 1 Hebrew name (Spouse/Partner)
Parent 2 (if applicable) Hebrew name
Parent 2 (if applicable) Hebrew name (Spouse/Partner)
Birth date
Birth Date (Spouse/Partner)
Anniversary
Job Title/Occupation
Job Title/Occupation (Spouse/Partner)
*
Building Fund (New Members)
I will pay $1,500 building fund fee this year
I will pay $2,000 building fund fee over time (years 2-5)
I have previously paid a building fund fee
Please contact me about the building fund requirement
New members who have not previously fulfilled a building fund obligation at another synagogue are expected to make their contribution to the Building Fund, but this can be spread over a number of years or deferred, if necessary.
Add Children Information if any
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Child First Name
Child Last Name (if Different)
Hebrew Name
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Birthdae
Thu, March 20 2025 20 Adar 5785