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Hazvi Yisrael 5781 Membership & Seats
I/We wish to apply for membership of Bet Haknesset Hazvi Yisrael for 5780 and to reserve seats for the Yamim Noraim 5781 as follows:
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Personal Details:
Name
*
Your answer
E mail address
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Fax
Your answer
Teudat Zehut / Passport
*
Your answer
Membership fees (not including seats)
Couple- husband & wife 1000 NIS
Single Person - male or female 500 NIS
Unsalaried youth- child or grandchild of member, soldier, sherut leumi or student 80 NIS
Total for Membership
Your answer
Number of Seats:
We wish to determine the number of congregants who expect to attend the tefillot. As the holidays approach and the Ministry of Health updates its instructions, we will contact you by email and telephone with regard to changes.
Men's Section
Your answer
Women's Section
Your answer
Please complete the following tables with the appropriate amounts:
Seats fees (per seat)
Member 175 NIS
Child or Grandchild (salaried) of member 175 NIS
Child or Grandchild (unsalaried) of member 40 NIS
Unsalaried youth member - soldier, sherut leumi, student 40 NIS
Total for seats
Your answer
Donation (optional)
Your answer
TOTAL:
Your answer
Additional details:
Full Name in Hebrew
Member's name בן Father's name and mother's name (i.e. ראובן בן יעקב ולאה)
Member
Your answer
Spouse
Your answer
Hebrew Dates of Yahrzeit of members' parents
Name of deceased
Your answer
Date of passing
Your answer
Relationship
Your answer
If you also have a foreign address please complete the following:
Address
Your answer
Phone
Your answer
Fax
Your answer
I/we agree to be included in the membership list
*
YES
NO
Additional comments:
Your answer
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