B'nai Zion Membership Form

B'nai Zion Membership Form

We are excited to welcome you to the BZ family! Please reach out with any questions as you fill out the form (423) 894-8900
Applicant's Name

First NameLast Name
Applicant's Hebrew Name (If applicable)
Spouse/Partner's Name (if applicable)

First NameLast Name
Spouse/Partner's Hebrew Name (if applicable)
Applicant's Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse/Partner's Birthdate (if applicable)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Spouse/Partner's Cell Phone (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Applicant's Email
example@example.com
Spouse/Partner's Email (if applicable)
example@example.com
Wedding Anniversary (if applicable)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Tell us about yourself!
Do you have children (minor or adult)?
Children (minor or adult)
Name of Child 1

First NameLast Name
Hebrew Name (If applicable) - Child 1
Birthday - Child 1

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Child 2

First NameLast Name
Hebrew Name (If applicable) - Child 2
Birthdate - Child 2

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Child 3

First NameLast Name
Hebrew Name (if applicable) - Child 3
Birthdate - Child 3

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Child 4

First NameLast Name
Hebrew Name (if applicable) - Child 4
Birthdate - Child 4

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Adult Children (over 18 years of age)
Name of Adult Child 1

First NameLast Name
Hebrew Name (if applicable) - Adult Child 1
Birthday - Adult Child 1

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse's Name (if applicable) - Adult Child 1

First NameLast Name
Name of Adult Child 2

First NameLast Name
Hebrew Name (if applicable) - Adult Child 2
Birthday - Adult Child 2

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse's Name (if applicable) - Adult Child 2

First NameLast Name
Name of Adult Child 3

First NameLast Name
Hebrew Name (if applicable) - Adult Child 3
Birthday - Adult Child 3

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse's Name (if applicable) - Adult Child 3

First NameLast Name
Name of Adult Child 4

First NameLast Name
Hebrew Name (if applicable) - Adult Child 4
Birthday - Adult Child 4

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Spouse's Name (if applicable) - Adult Child 4

First NameLast Name
Yahrzeits

Yahrzeit means "a year's time" in Yiddish. It refers to the anniversary of the death of a close relative. Please fill out if there are important yahrzeits for us to be aware of.
Yahrzeit 1 - English name and, if you know it, Hebrew name.
Yahrzeit 1 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 1 - Date of passing

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Yahrzeit 1 - For the Hebrew date: Do you know if they passed before or after sundown?
Yahrzeit 2 - English name and, if you know it, Hebrew name.
Yahrzeit 2 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 2 - Date of Passing

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Yahrzeit 2 - For the Hebrew date: Do you know if they passed before or after sundown?
Yahrzeit 3 - English name and, if you know it, Hebrew name.
Yahrzeit 3 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 3 - Date of Passing

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Yahrzeit 3 - For the Hebrew date: Do you know if they passed before or after sundown?
Are there other yahrzeits we should be aware of? (Please list details as requested above.)
Getting Involved
What are some ways you would like to get involved? Here is a list to get you started!

Other
Membership Agreement
Membership is the backbone of B'nai Zion and ensures our sustainability now and in the future. The current dues are listed below. Please note that we recognize that each member's situation is different, and we work with each person/family to determine the right dues on an individual basis.

Nobody will be turned away for lack of funds!
I wish to pay my dues by:
Should be Empty:

B'nai Zion Membership Form

Children (minor or adult)

Adult Children (over 18 years of age)

Yahrzeits

Getting Involved

Membership Agreement