First Name
*
First
Last Name
*
Last
E-mail
*
example@example.com
Street Address
*
City
*
State
*
Zip Code
*
Membership Level
*
Kosher - $54 - $99
Glatt Kosher - $100
Mehadrin Kosher - $180
Corporate Sponsor - $250
I am new to town or Kosher (within the last 6 months) - $0
Please choose an amount between $54 and $99 for your Kosher Membership.
*
Would you like a Kosher Kard?
Yes
No
Please send me 2 Kosher Kards. - $10 extra
If you would like to give a donation, enter amount below.
How many Kosher Kards would you like?
*
0
1
2
Total Kosher Kards
Company Name
Please attach your Logo to be added to the Membership webpage.
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Only food businesses that are certified Kosher by the AKC are eligible for Corporate Sponsorship.
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