Membership Application

Congregation Beth Israel

141 Hilton Ave, Cathedral Garden, NY 11550

Date:

Welcome to CBI of Cathedral Gardens, a spirited Jewish community open to all and non-denominational. We know your participation in our community will be meaningful and will enrich your life. Please take a few moments to fill out this form so we get to know a little bit about you. This information will remain confidential and in our files. We look forward to learning more about you in person.

Membership includes:

Rabbi’s officiation at member’s life-cycle events
High-Holiday tickets
Access to all adult-ed classes
Weekly Shabbat luncheon
Discounts on special events

Contact Information

Primary Member:
First name:
Middle name:
Last Name:
Preferred nickname:
Email:
Hebrew name:
Father's Hebrew name:
Mother's Hebrew name:
Birth date:
Mobile Phone:
Work phone:
Tribe
CohenLeviYisroel
Address:
Address #2 (apartment):
City:
State:
Zip Code:

Secondary Member(if applicable):
First name:
Middle name:
Last Name:
Preferred nickname:
Email:
Hebrew name:
Father's Hebrew name:
Mother's Hebrew name:
Birth date:
Mobile Phone:
Work phone:
Tribe:
CohenLeviYisroel
Address:
Address #2 (apartment):
City:
State:
Zip Code:

Membership Application

Contact Information

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