Congregation B'nai Abraham
Invitation to Membership
Thank you for your interest in membership. Our community is made up of a diverse group of people from various levels of observance, who come together for learning, spiritual growth, social interaction and friendship. We invite you to join our growing family and be part of this wonderful community.
Name | |||
Address | |||
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Zip | |||
Home Phone | |||
Work Phone | |||
Fax | |||
(*required) | |||
Hebrew Name | |||
Birthdate (mm/dd/yyyy) | |||
Father's Hebrew Name | |||
Mother's Hebrew Name | |||
Jew by Birth or Converted? | (If converted, please mail or fax conversion certificate) | ||
Spouse's Name | |||
Spouse's Hebrew Name | |||
Spouse's Birth Date (mm/dd/yyyy) | |||
Father's Hebrew Name | |||
Mother's Hebrew Name | |||
Jew by Birth or Converted? | (If converted, please mail or fax conversion certificate) |
Please mark the applicable with an X:
Cohen | Levi | Israel |
Marital Status:
Single | Married | Divorced | Widowed |
Anniversary Date |
If divorced, do you have a Jewish "Get?"
Yes | No |
Are you or anyone in your immediate family adopted? | ||
Yes | No | |
If Yes, Please Explain |
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Prior Jewish Education | |||
Special Talents | |||
Occupation | |||
Spouse's Occupation | |||
Activities you are interested in:
Educational Classes | ||
Volunteer Work | ||
Shabbat Dinners | ||
Counseling | ||
Hebrew | ||
Other | |||
Other Organizational Affiliations | |||
New Member
Renewal
We now offer the option of monthly payments or annual payments for membership dues.
Membership Benefits and Categories:
Basic MembershipShul Founder.........$720 per month/$8,640 annually | |||
Shul Pillar.........$360 per month/$4,320 annually | |||
Benefactor........$180 per month/$2,160 annually | |||
Patron................$90 per month/$1,080 annually | |||
Family................$720 annually | |||
Single.................$480 annually | |||
Note: All contributions are tax deductible
Please send a check or use the online secure payment box that will be available after you submit this form.
Please mail check to:
Congregation B'nai Abraham
527 Lombard Street
Philadelphia, PA 19147
For additional information, please call: 215-238-2100
Fax (215)238-2101
membership@phillyshul.com