TEFILAT YAMIM - Member Information Form

בס״ד
TEFILAT YAMIM - תפילת ימים

Ir Yamim, Netanya
MEMBERSHIP FORM

"CHAI SEFER TORAH CAMPAIGN" details also below.
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.
Your E-Mail*
Your FIRST Name (English)*
Your FAMILY Name (English)*
FAMILY NAME (Hebrew)
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal Code
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 E-Mail*
Spouse FIRST Name*
Spouse FAMILY Name if not same as yours
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?
Chai SEFER TORAH Campaign

Membership thru August 2024/Elul 5784

Option #1
- Purchase a PARSHA in our Sefer Torah for ₪3,600
- Membership is through the end of August 2024
Option #2
- Purchase an ALIYA in our Sefer Torah for ₪1,800
- Membership is through the end of August 2024
Option #3
- Donate an amount you are comfortable with
- Membership is through the end of August 2024
Please indicate your choice:*

₪3,600 - PARSHA₪1,800 - ALIYAI wish to donate
Payment choices:*

Credit Card with tax receipt (JGIVE)Credit Card without tax receiptBITBank TransferCheckOther
JGive credit card link

Receive immediate tax receipt, local and foreign

You can change the JGive site to English by clicking on 3 lines in upper right corner and then scrolling down to bottom. Plz let us know if you have any issues with this.
Tefilat Yamim credit card link

You will not receive a tax receipt.

If you require a tax receipt, please use the JGIVE credit card link above.
Pay by BIT link

You will not receive a tax receipt.

If you require a tax receipt, please use the JGIVE credit card link above.
Bank Transfer details:

Bank Mizrahi Tefahot (#20)

Branch # 423

Account # 315794

Under name - 'Tefilat Yamim'

You will not receive a tax receipt.

If you require a tax receipt, please use the JGIVE credit card link above.
Check
Other
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 call or Wassap Jonathan (053.8236143) or Rami (054.6742284)

Thank you for completing the

TEFILAT YAMIM Membership Form

and participating in our

'Chai SEFER TORAH Campaign'.
Should be Empty:

TEFILAT YAMIM - תפילת ימים

MEMBERSHIP FORM

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.