SOS Membership Form

MEMBERSHIP FORM

2019-2020
Membership runs from August 1st - July 31st
I AM A: *

RETURNING MEMBER (No Changes to Information) RETURNING MEMBER (Changes to Information) NEW MEMBER
ADULT MEMBERS
ADULT #1 *

First Name Last Name
E-mail *
example@example.com
Primary Phone *

Area Code Phone Number
Secondary Phone

Area Code Phone Number
Birth Date

Month Day Year
Wedding Date (if applicable)

Month Day Year
ADULT #2

First Name Last Name
E-mail
Primary Phone

Area Code Phone Number
Secondary Phone

Area Code Phone Number
Birth Date

Month Day Year
CHILDREN

Living at Home or Away at College
CHILD #1

First Name Last Name
Birth Date

Month Day Year
Hebrew School Registration?

Yes
CHILD #2

First Name Last Name
Birth Date

Month Day Year
Hebrew School Registration?

Yes
CHILD #3

First Name Last Name
Birth Date

Month Day Year
Hebrew School Registration?

Yes
ADDRESS

LOCAL MAILING ADDRESS

MEMBERSHIP DIRECTORY PHOTO

Please upload a photo for our annual Membership Directory. This can be any photo which represents your household.
UPLOAD PHOTO

Browse Files

Cancel of
YAHRZEITS
I would like someone to contact me for my Yahrzeit information

Yes
GET INVOLVED
Please have someone contact me to see how I can help SOS

Yes
DUES

Please consider supporting SOS at the highest level you are able to.
Slopeside Sponsorships:

Double Black $ 1,000.00

Black $ 750.00

Blue $ 500.00

Green (True Cost of Membership) $ 360.00

Family Household $ 200.00

Single Household $ 150.00

Hebrew School Registration (Yearly) $ 350.00

Number of Children

Printed Membership Directory (An Electronic Copy is Complimentary) $ 15.00

Number of Directories

Total $ 0.00
I would like my sponsorship level to remain confidential:

Yes
To make an Additional Donation to SOS, please visit our website at: www.synagogueofthesummit.org .
Should be Empty:

MEMBERSHIP FORM