Attending services at Bevis Marks Synagogue

Personal info

Person 1- Group leader
Name

First NameLast Name
Email
example@example.com
Phone number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth

DayMonthYear
Date
More about you
If you are a member or attendee of a synagogue, please give the name and city of the synagogue. Note that we are likely to contact them to verify this information
If you are not a member of a synagogue please give details of how we can verify you.

Personal info

Person 2
Name

First NameLast Name
Email
example@example.com
Phone number
Same address as Person 1?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth (person 2)

DayMonthYear
Date
Same synagogue as person 1?
If you are a member or attendee of a synagogue, please give the name and city of the synagogue. Note that we are likely to contact them to verify this information
If you are not a member of a synagogue please tell us more about your Jewish background.

Personal info

Person 3
Name

First NameLast Name
Email
example@example.com
Phone number
Same address as person 1?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth (person 3)

DayMonthYear
Date
Same synagogue as person 1?
If you are a member or attendee of a synagogue, please give the name and city of the synagogue. Note that we are likely to contact them to verify this information
If you are not a member of a synagogue please tell us more about your Jewish background.

Personal info

Person 4
Name

First NameLast Name
Email
example@example.com
Phone number
Same address as person 1?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth (person 4)

DayMonthYear
Date
Same synagogue as person 1?
If you are a member of attendee at a synagogue where you live, please give the name of the synagogue
We might contact your synagogue to verify this information. Please give us an email address for them.
example@example.com

Personal info

Person 5
Name

First NameLast Name
Email
example@example.com
Phone number
Same address as person 1?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth (person 5)

DayMonthYear
Date
Same synagogue as person 1?
If you are a member of attendee at a synagogue where you live, please give the name of the synagogue
We might contact your synagogue to verify this information. Please give us an email address for them.
example@example.com

Personal info

Person 6
Name

First NameLast Name
Email
example@example.com
Phone number
Same address as person 1?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth (person 6)

DayMonthYear
Date
Same synagogue as person 1?
If you are a member of attendee at a synagogue where you live, please give the name of the synagogue
We might contact your synagogue to verify this information. Please give us an email address for them.
example@example.com

Passport / ID
Please upload a photo or scan of your passport using the buttons below. This needs to be either a valid passport, driving license or ID card.
ID for person 1

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ID for person 2

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ID for person 3

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ID for person 4

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ID for person 5

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ID for person 6

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Although an upload is our preferred option, if you don't feel comfortable uploading your ID you can, instead, bring it to show to our security team during office hours, Monday to Friday.

Please do not bring your ID when it is already Shabbat or Yom Tov.

Please indicate below if you intend to bring your ID in person.

Personal info