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Membership Form

Membership Form

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  Shul in Sandton Central Membership Form
All are welcome to join, regardless of background or affiliation!

Please fill out the form below, so we can best serve you.


 

 

SECTION I: YOUR INFO

 

 

SECTION II: SPOUSE'S INFO

Name

 

Name

Hebrew Name   Hebrew Name
Father's Hebrew
Name
  Father's Hebrew
Name
Mother's Hebrew
Name
  Mother's Hebrew
Name
Occupation   Occupation
Birth Date / /
MM / DD / YYYY format
  Birth Date / /
MM / DD / YYYY format
Jewish by: Birth Converted   Jewish by: Birth Converted
Check One: Cohen Levi Israel   Check One: Cohen Levi Israel
eMail   eMail
Mobile   Mobile

 

 

SECTION III: PERSONAL INFORMATION

Address   Marital Status
City/State/Zip   Anniversary Date / /
MM / DD / YYYY format
Home Phone   If Divorced: If divorced, do you have a
Jewish "Get" ? Yes No

 

 

SECTION IV: CHILDREN

Name

 

Birth Date

/ /
MM / DD / YYYY format

Name

 

Birth Date

/ /
MM / DD / YYYY format

Name

 

Birth Date

/ /
MM / DD / YYYY format

Name

 

Birth Date

/ /
MM / DD / YYYY format

Name

 

Birth Date

/ /
MM / DD / YYYY format

Name

 

Birth Date

/ /
MM / DD / YYYY format
Are any children adopted? Yes No   If yes, give details, including any coversion info:

 

 

SECTION V: YAHRZEIT INFORMATION

 

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
Date of Passing: MM / DD / YYYY
Relationship

 

 

SECTION VI: Please tell us which programmes most interest you.

 
Shabbos Services Holiday Services High Holidays Sunday Minyan Daily Shacharis 
Daily Mincha/Mariv
Adult Education Seniors Club Childrens Programmes Bar/Bat Mitzvah Women’s Circle Jewish Business Network Community Service
Other Would you like to join a committee? Please specify

 


 

 SECTION VII: General Questions


How did you find out about our Shul?
Did you belong to any Shul before this?

Are you affiliated with any other Jewish orgnization?
Notes:

Membership : At Chabad's Goodness & Kindness Centre - Shul in Sandton Central we believe that you don't have to pay to pray, and therefore all are welcome to become a member of our Shul. It is however, through your contributions that our doors remain open and therefore we have implemented a membership programme with perks, exclusively for those who contribute a monthly membership due to the Shul. We thank you for your support! May you see Hashem's promise of your Tzedaka being repaid many times over.

SECTION VII: Membership Fees
FAMILY MEMBERSHIP- R360/ MONTH OR R4320/ YEAR
SINGLE MEMBERSHIP- R250/ MONTH OR R3000/ YEAR

PAY BY DEBIT ORDER:

I hereby authorize the Shul in Sandton Central-Miracle Drive Trust account to debit my card as noted below on a monthly basis.

Bank Branch 

Branch Code Account number 

I would like to add a monthly donation of R to my membership fees to help develop the Shul's programmes. 

PAY BY CREDIT CARD:

Card type

Card number

Expiry date

CVC number

Would you like us to charge your card annually (in March of each year) or monthly?

Please charge my card an additional R each month to help develop the Shul's programmes and activities. 

PAY BY EFT
Here are our banking details, please show your support. Thank you!!
Account number: 62457937989
FNB Balfour Park - Branch : 250-655
Ref: your name
Please email any proof of contributions or payments for the Shul to rak@chabad.org.za Thank you for your kind and generous support!!

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