CBI Membership Application
Welcome to Congregation Beth Israel - Mississippi Gulf Coast’s only synagogue! We look forward to welcoming you into the CBI family! 
Sign in to Google to save your progress. Learn more
Membership Type: 
Please note: Military receives 10% off any of the below listed membership prices 
 *
Required
How would you like to pay?  *
Member Information:
Name:  *
Birthday: *
MM
/
DD
/
YYYY
Mailing Address:  *
Phone Number:  (Please indicate if you would like to be added to our community whatsapp group  *
E-mail Address:  *
Partner/Spouse Information: 
Name: 
Birthday:
MM
/
DD
/
YYYY
Phone Number:  (Please indicate if you would like to be added to our community whatsapp group 
E-mail Address:
Anniversary Date:
MM
/
DD
/
YYYY
Minor Children Living at Home including Birthdays 
Yahrtzeits 
Please list below any yahrzeits you would like the synagogue to commemorate. If you would like a Yahrzeit plaque ordered for this person, please contact the office. Each plaque is $180.00
Jewish Background 
“Any person of the Hebrew/Jewish (faith) and/or a family with one spouse of the Jewish faith may become a member of the Congregation by a majority vote of the board of trustees at any regular or special meeting” (Article I, Section I Beth Israel By-Laws)
Please list both yours and your partner's Hebrew Names (If not applicable write N/A)
 *
Are you or your spouse a Cohen or Levi? *
Please briefly describe your family's Jewish upbringing (One parent Jewish, Both parents Jewish, converted etc.) *
Our CBI Community 
Our CBI Community is made up of individuals, each with their own talents and interests.  We believe it’s extremely important to encourage our members to volunteer their time or talents to help CBI become the best it can be!
Please Check ant of the programs you would be interested in attending:  *
Required
What special talents or skills would you like to bring to the CBI Community  *
You can pay online using this link:
https://www.cbigulfcoast.org/donate.html

Or send a check to:
12277 Three Rivers Road
Gulfport, MS 39503
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms