CHAVER/PARTERSHIP REGISTRATION FORM

TBH/CBM CHAVER/ PARTNER REGISTRATION

Please fill out completely, so we can get to know you better. No information will be shared externally. IF YOU WISH TO SEND YOUR DONATION BY MAIL, PLEASE PAY TO THE ORDER OF: Temple B'nai Hayim OR Congregation Beth Meier, 4302 Van Nuys Blvd., Sherman Oaks 91403. CONTACT US AT 818-788-4664 or office@bethmeier.org
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Mailing (Primary) Address *

Street Address

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Child 4 Information
child4 Full Name

First Name Last Name
HEBREW NAME
c4 Gender

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c4 Birth Date

Month Day Year
c4 Grade in School
c4 E-mail
c4 Cellphone

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c4 Grade in School
Last year’s membership rates (for reference only)Individual/Senior (included 1 High Holy Day Ticket): $870Family/Senior Couple (2 tickets): $1270Shomer (6 tickets): $2540Associate Member (no ticket): $360Individual Student (1 ticket): $136Sisterhood Membership: $36Now DONATE WHAT YOU CAN! No extra charge for Religious School, High HolyTickets, or Bar/Bat Mitzvah prep!
PLEASE SIGN ME UP FOR ...

SISTERHOOD (extra $36)
MY HEARTFELT GIFT TOTAL. ONCE CALCULATED, PLEASE GO TO THE LINK SUPPLIED BELOW TO MAKE YOUR PAYMENT

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www.bnaihayim.org/donate
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TBH/CBM CHAVER/ PARTNER REGISTRATION