Sandton Central Shul Membership At Sandton Central Shul we believe that you don't have to pay to pray, and therefore all are welcome to join 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. 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 Please Select Single Married Divorced Widowed 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: YAHRTZEIT 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 - Sandton Central Shul we believe that you don't have to pay to pray, and therefore all are welcome to join 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- R770/ MONTH OR R9240/ YEAR COUPLE MEMBERSHIP- R660/ MONTH OR R7920/ YEAR SINGLE MEMBERSHIP- R540/ MONTH OR R6480/ YEAR PAY BY DEBIT ORDER: I hereby authorize the Sandton Central Shul-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 Mastercard Visa Card number Expiry date CVC number Would you like us to charge your card annually (in March of each year) or monthly? Monthly Annually 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 [email protected] Thank you for your kind and generous support!! This page uses 128 bit SSL encryption to keep your data secure.