TEFILAT YAMIM - Member Information Form

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TEFILAT YAMIM - תפילת ימים

Ir Yamim, Netanya / info@tefilatyamim.org / 053.594.0997
MEMBERSHIP FORM

New Member or Renewal

2024-2025 / 5785 / תשפ״ה
Is this a membership renewal or a first-time registration? Please choose one.*

RenewalFirst-time
Thank you for becoming Members of our wonderful community. Please take just a few minutes to help us best serve you and your family by completing this form. The information you provide will be kept confidential & only for our records.
Thank you for renewing your Membership. If you are not sure that we have your up-to-date information, especially Yahrtzeit information, please email info@tefilatyamim.org or WhatsApp/Call Rami @ +972546742284 to confirm.
Your FIRST Name (English)*
Your FAMILY Name (English)*
Your FIRST Name (English)*
Your FAMILY Name (English)*
Your E-Mail*
Your E-Mail*
FAMILY NAME (Hebrew)
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal Code
Phone Number*
Please enter a valid phone number.
Phone Number*
Please enter a valid phone number.
Please Select (M/F)*
Please Complete to Help us With an Aliya L'Torah
HEBREW Name as Called up to the Torah (פלוני בן פלוני). Can answer in English
Please Choose One to Help us With an Aliya L'Torah

Kohen (כהן)Levi (לוי)Yisroel (ישראל)
What is your Bar Mitzva Parsha?
Can answer in English
I would be interested in participating during Tefila (Choose all that apply)

Lain the TorahDaven for AmudRead the HaftorahGive Dvar TorahGive Shiur after TefilaRead MegillaGabbai
Please indicate whether or not this is a single membership form or if you need to enter information for a spouse*
Spouse FIRST Name*
Spouse FAMILY Name if not same as yours
Spouse E-Mail*
Spouse Phone*
Please enter a valid phone number.
Please Choose One to Help us With an Aliya L'Torah for your Spouse

Kohen (כהן)Levi (לוי)Yisroel (ישראל)
Please Complete to Help us With an Aliya L'Torah for your Spouse
HEBREW Name as Called up to the Torah (פלוני בן פלוני). Can answer in English
What is your Spouse's Bar Mitzva Parsha?
Can answer in English
My spouse would be interested in participating during Tefila (Choose all that apply)

Lain the TorahDaven for AmudRead the HaftorahGive Dvar TorahGive Shiur after TefilaRead MegillaGabbai
# Children Living at Home*
Child #1*
Child #2*
Child #3*
Child #4*
Child #5*
Please indicate whether or not you need to enter Yahrtzeit information*
How many total Yahrtzeits would you or your spouse like to list?*
Yahrtzeit #1*
Yahrtzeit #2*
Yahrtzeit #3*
Yahrtzeit #4*
Yahrtzeit #5*
Yahrtzeit #6*
Yahrtzeit #7*
I or a family member would be interested in joining a committee (Choose all that apply)

KiddishChild EducationAdult EducationChessedFundraisingOther (answer pop-up below)
Please help us by suggesting what "other" committee you'd be interested in forming or joining
Is there anything else you would like us to know or do you have any comments or suggestions?
* Membership dues are ₪1,800 per family.

This includes 2 seats for RH and YK *

In a few weeks, we will be posting the official seating form.

Here are the various payment options to receive a tax receipt:
If a tax receipt is not required, we kindly ask you to try and please send a local bank transfer in Shekels, as it is the quickest and most cost-saving method of directly receiving funds into our account.

If you can not pay in full or prefer to pay over time, you will not be turned away, and we will work with you confidentially to make special arrangements.
From where and how would you like a tax receipt? *
Please choose one before clicking the links below.
CLICK for USA CREDIT CARD
CLICK for ISRAEL CREDIT CARD/BIT
CLICK for CAD/GBP CREDIT CARD
ISRAEL Bank Transfer:

Mizrachi Bank (#20)

Branch #423

Account # 315794

"Tefilat Yamim"
USA CHECK/BANK TRANSFER:

WhatsApp or call Rami @ +972546742284
WhatsApp or Call Rami @ +972546742284
Join our ANNOUNCEMENT & INFO whatsapp group: TY-Announcements-Info-Group

Join our COMMUNITY CHAT whatsapp group: TY-Community-Chat-Group

E-Mail: info@tefilatyamim.org

Rav Mendel: 053.8809063 / ravmendel@tefilatyamim.org

For any questions or looking to volunteer, please WhatsApp or call

Jonathan (053.8236143) or Rami (054.6742284)

Thank you for completing the form.
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TEFILAT YAMIM - תפילת ימים

Thank you for becoming Members of our wonderful community. Please take just a few minutes to help us best serve you and your family by completing this form. The information you provide will be kept confidential & only for our records.

Thank you for renewing your Membership. If you are not sure that we have your up-to-date information, especially Yahrtzeit information, please email info@tefilatyamim.org or WhatsApp/Call Rami @ +972546742284 to confirm.