Membership Application

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Please select your membership category below. Please click on Submit when complete. Once approved, you will be contacted by a Shul representative.

* Membership

* Last Name

* Primary First Name

Title

* Gender

* Tribe

* Home Address Line 1

Home Address Line 2

* City

* State

* ZIP

* Primary's Home Phone

Primary's Cell Phone

* Primary's Email Address

Occupation

Business Phone No.

Primary's Date of Birth

* Primary's Hebrew Name

* Primary's Father's Hebrew Name

* Primary's Mother's Hebrew Name

Spouse's First Name

Spouse's Title

Spouse's Gender

Spouse's Cell Phone

Spouse's Email Address

Spouse's Occupation

Spouses's Business Phone No.

Spouse's Date of Birth

Spouse's Hebrew Name

Spouse's Father's Hebrew Name

Spouse's Mother's Hebrew Name

CHILDREN

Child 1

Name

Hebrew Name

Date of Birth

Child 2

Name

Hebrew Name

Date of Birth

Child 3

Name

Hebrew Name

Date of Birth

Child 4

Name

Hebrew Name

Date of Birth

Child 5

Name

Hebrew Name

Date of Birth

Child 6

Name

Hebrew Name

Date of Birth

Total Amount:

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Tue, June 15 2021
5 Tammuz 5781

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Friday Night

Candle Lighting

: 8:10pm

Mincha

: 8:16pm

Shabbos Day

Shacharis

: 9:00am

Shuir

: 7:30pm

Mincha

: 8:17pm

Havdalah

: 9:19pm

Maariv

: 9:24pm

This week's Torah portion is Parshas Chukas

Shabbos, Jun 19

Candle Lighting

Friday, Jun 18, 8:10pm

Havdalah

Motzei Shabbos, Jun 19, 9:19pm

Fast of Tammuz

Sunday, Jun 27

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Earliest Tallis	4:21am
Netz (Sunrise)	5:23am
Latest Shema	9:09am
Zman Tefillah	10:25am
Chatzos (Midday)	12:55pm
Mincha Gedola	1:33pm
Mincha Ketana	5:19pm
Plag HaMincha	6:53pm
Shkiah (Sunset)	8:27pm
Tzais Hakochavim	9:18pm
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Tue, June 15 2021 5 Tammuz 5781