Re: KBT Membership Form & Yomim Noraim Seating

Click here to pay with Paypal.

On Fri, Aug 28, 2015 at 11:51 AM, Bnai Torah <bnaitorahcleveland@gmail.com> wrote:

If you have trouble viewing or submitting this form, you can fill it out in Google Forms.

KBT Membership Form 5776

Please complete Membership form below. When you are complete, click submit.

If you plan to daven with us over Yomim Noraim, please complete the seating section at the end of the form and make your payment. The DEADLINE to reserve and pay for your regular (or prior year) seats is September 10th. If you would like to be moved to a different seat, please contact Dovid Malcmacher (dymaltz@yahoo.com) or Kostia Feldman (kostia.feldman@gmail.com).

If you've filled this form out in the past, please only complete the required fields.

Payment should be made using Paypal or by sending a check to:

Kehillas Bnai Torah
c/o Joe Krash
25600 Solon Rd
Bedford Hts, OH 44146

Contact Charlie Beer with any questions charlesbeerdc@gmail.com.

Thank you.

* Required

Last Name *
First Name *
Address *
Address, City, State and Zip
Work Address
Address, City, State and Zip (optional)
Home Phone
ex: 123-456-7890
Mobile Phone *
ex: 123-456-7890
Email address *
ex: name@email.com
Wife's Name
First Name and Last Name
Email address *
ex: name@email.com
Kid(s) Name(s)
Occupation
Employer

Membership

Membership dues should be paid using Paypal. Please use the link included in this email. Checks can be mailed to: Kehillas Bnai Torah c/o Joe Krash 25600 Solon Rd Bedford Hts, OH 44146.

Yomim Noraim Seats

Member: $50 for each seat $150 family max. Non-Member: $100 per seat.
Membership Options: please select the option you prefer
• Pioneering Member: $1200 annually
• General Membership: $360 annually
• 25 and under Membership: $250 annually
• Kollel/Mechanech Membership: $180 annually
Yomim Noraim Seats: Men
• 1
• 2
• 3
• 4
• Other:
Yomim Noraim Seats: Women
• 1
• 2
• 3
• 4
• Other:

Never submit passwords through Google Forms.

Powered by

This content is neither created nor endorsed by Google.
Report Abuse - Terms of Service - Additional Terms