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Membership Application

To join Aish Kodesh, please submit the following application form. All applications will be reviewed and approved before membership is granted. Someone will be in touch with your shortly after submitting this form.

* Primary Member Title

(Mr., Mrs., Ms., Dr., Rabbi, Rebbetzin)

Spouse Title

(Mr., Mrs., Ms., Dr., Rabbi, Rebbetzin)

* Primary Member First Name

Spouse First Name

* Primary Last Name

Spouse Last Name

* Primary Birthday

Spouse Birthday

* Primary Hebrew Name

Spouse Hebrew Name

* Primary Email

Spouse Email

* Primary Mobile

Spouse Mobile

How many children do you have?

Child 1 Name

Gender

Child 1 Birthday

Child 2 Name

Gender

Child 2 Birthday

Child 3 Name

Gender

Child 3 Birthday

Child 4 Name

Gender

Child 4 Birthday

Child 5 Name

Gender

Child 5 Birthday

Child 6 Name

Gender

Child 6 Birthday

Child 7 Name

Gender

Child 7 Birthday

Child 8 Name

Gender

Child 8 Birthday

* Street

* City

* State

* ZIP

Home Phone Number

* Membership Type

Please Select OneFull Membership: $1350 AnnuallyAssociate Membership: $875 Annually

* Please choose the current month to have your dues prorated for the remainder of this year

Membership Terms

By my submission of this membership application, I agree to be bound by the provisions of article 12 of the Congregation's Certificate of Incorporation, which is as follows:

"The congregation is, and the Congregation shall be, dedicated to the conduct of decorous services which shall at all times be a Kiddush HaShem - a sanctification of G-d's name - and in a manner designed to enhance their spiritual and esthetic beauty (including the extensive use of congregational singing). To that end it shall be a condition of membership that a member pledge to, and at all times conduct themselves accordingly."

* I have read and accept the membership terms listed above

I have read and accept the membership terms listed above

Membership Total

for the remainder of this year

Tue, November 24 2020
8 Kislev 5781

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Alos Hashachar	5:27a
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Netz (Sunrise)	6:53a
Latest Shema	9:17a
Zman Tefillah	10:05a
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Tue, November 24 2020 8 Kislev 5781