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Date
Membership Type
Habonim Membership
Family Membership
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Associate-Single-Membership
Corresponding Membership
Title
Last Name
First Name
Hebrew Name
Are you a Kohen, Levi or Yisroel?
Father's Hebrew Name
Mother's Hebrew Name
Birthday
Bar Mitzva Parsha
Address
City
State
--Select State--
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Alaska
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District of Columbia
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zipcode
Home phone
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Email
Marital Status
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widowed
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Occupation
Spouse's Name
Spouse's Email
Spouse's Cell Phone
Spouse's Birthday
Spouse's occupation
Spouse's Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Anniversary Date
Child's name
Child's Hebrew name
Child's birthday
School and grade
Child's name
Child's Hebrew name
Child's birthday
School an grade
Child's name
Child's Hebrew name
Child's birthday
School and grade
Child's name
Child's Hebrew name
Child's birthday
School and grade
How would you like to be listed in our public directory? Home phone, cell phone and/or emails?
Yarzheits
English Name Hebrew Name Relationship Yarzheit Date
Check volunteer activities you’d be interested in
Davening or leyning
Fundraising
Event planning
Chesed/Hospitality
Youth
Office
Other ___________________
List any talents or special interests that you would be willing to share with YIOP
Sat, December 21 2024 20 Kislev 5785