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Online New Membership Application

Membership Category Fees
Family (includes 2 High Holiday Seats) $1400
Single (includes 1 High Holiday Seat) $1000
Associate $500
Married student (Full time College)  2 High Holiday Seats $380
Single student (Full time College) 1 High Holiday Seat $200
Active Military or Law Enforcement FREE
Please fill out application below:




Applicant's Marital Status


Conversion to Judaism


Children (English and Hebrew names; English date of birth). Start each on a blank line.



I am/We are interested in membership at Beth Jacob Congregation and hereby submit this application. I/We agree to abide by the rules, regulations and by-laws of Beth Jacob Congregation. 



Sun, April 22 2018 7 Iyyar 5778