Become a Friend

Prefix

First Name *

Middle Name

Last Name *

Street Address *

Apartment, suite, etc

City *

County *

Postal Code *

Phone number *

Email Address *

Date of birth *

Day

Month

Year

Are you a friend/member of any other Synagogue? *

Which synagogue are you a friend/member of? *

Why do you want to become a Friend of Kehillat Or Tzion Synagogue? *

Do you have any special interests, talents, or skills you would like to share with our community? *

Please advise what special interests, talents, or skills you would like to share with our community. *

Would you like to pay your fees monthly or annually? *

What date of the month would you like your fees to be collected by Direct Debit? *

How did you hear about us? *

Identification *Please upload photo identification

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