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Poale Zedeck New Member Application
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Email
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Your email
Adult 1: First and Last Name
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Your answer
Spouse's name (if applicable)
Your answer
Adult 1: Hebrew Name
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Your answer
Membership Type
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Family Membership
Single Membership
Student Membership
Associate Membership
If you are applying for an associate membership, which other shul in Pittsburgh are you a full member of?
Your answer
If you are applying for a family membership, is the oldest adult family member 35 years old or older?
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Yes
No
Names of other household members
Your answer
Poale Zedeck membership is only for those who were either born Jewish or converted to Judaism through an Orthodox beis din.
If you, or any household members, are converts, please submit a copy of your conversion documents to rabbi@pzonline.org.
I attest that
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I and all of my household members were born Jewish.
I, or one or more of my household members, had a halachic conversion and I will send the conversion documents to the rabbi for his review. The rest of the household members were born Jewish.
Street address
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Your answer
Home phone number
Your answer
Cell phone number
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Your answer
A copy of your responses will be emailed to the address you provided.
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