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Membership Application
Welcome to EET!
We are delighted you'd like to become a member of our community. Information will be treated confidentially.
Member 1 First Name
Member 1 Last Name
Member 2 First Name
Member 2 Last Name
N/A or Unknown
Male
Female
Member 1 Gender
N/A or Unknown
Male
Female
Member 2 Gender
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Marital Status
Anniversary
Member 1 Birthday
Member 2 Birthday
Member 1 Email
Member 2 Email
Home Phone Number
Member 1 Mobile
Member 2 Mobile
Member 1 Work Phone Number
Memeber 2 Work Phone Number
Primary Address - Street and Apartment
Primary Address - City
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Primary Address - State
Primary Address - Zip Code
Member 1 Employer Name
Member 1 Occupation Title
Member 2 Employer Name
Member 2 Occupation Title
Member 1 Hebrew Name
Member 1 Hebrew Name
Member 1 Mother's Hebrew Name
Member 1 Father's Hebrew Name
Member 2 Mother's Hebrew Name
Member 2 Father's Hebrew Name
Member 1 Conversion Date if Applicable
Member 2 Conversion Date if Applicable
Child's gender
Children's Information (If applicable)
Child 1
Full Name
Child 2
Full Name
Child 3
Full Name
Child's gender
Child's gender
Child's gender
Child 1 Date of Birth
Child 2 Date of Birth
Child 3 Date of Birth
Child 1 Hebrew Name
Child 2 Hebrew Name
Child 3 Hebrew Name
My child/children will be attending religious school at EET
My child/children will be attending religious school at EET
Yahrtzeits (Memorial Dates)
Cards will be sent by the EET Office.
I would like to observe:
The Secular (English) Date
The Hebrew Date
Full Name of Deceased
Date of Death (English Calendar)
Date of Death (Hebrew Calendar)
Relationship to Mourner
Full Name of Deceased
Date of Death (English Calendar)
Date of Death (Hebrew Calendar)
Relationship to Mourner
Full Name of Deceased
Date of Death (English Calendar)
Date of Death (Hebrew Calendar)
Relationship to Mourner
Full Name of Deceased
Date of Death (English Calendar)
Date of Death (Hebrew Calendar)
Relationship to Mourner
Full Name of Deceased
Date of Death (English Calendar)
Date of Death (Hebrew Calendar)
Relationship to Mourner
For additional yahrzeits, please put information in box below
Interests & Talents - Help us get to know you.
Member 1
Member 2
Cooking/Baking
Data Management/IT
Finance/Fund Raising
Event Planning
Holidays & Worship
Jewish Studies/Hebrew Language
Marketing/Communications
Music/Singing
Photography/Video/Film
Social Justice/Tikun Olam
Ushering
Website Design & Management
Sisterhood
Mens Club
Other
Cooking/Baking
Data Management/IT
Finance/Fund Raising
Event Planning
Holidays & Worship
Jewish Studies/Hebrew Language
Marketing/Communications
Music/Singing
Photography/Video/Film
Social Justice/Tikun Olam
Ushering
Website Design & Management
Sisterhood
Mens Club
Other
Any additional information you'd like to add?
I wish to become a member of East End Temple. With the signature below, I agree that I am legally obligated to pay the membership rates and the school fees (if applicable) as determined by the Board of Trustees.
*
I agree:
Member 1 Signature
I agree:
Member 2 Signature
Date
Thu, September 19 2019
19 Elul 5779
Thu, September 19 2019 19 Elul 5779
