GRS Membership Form - Form - Green Road Synagogue

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GRS Membership Form

* Title

* First Name

* Last Name

* Hebrew Name

Email Address

* Phone Number

Spouse's Title

Spouse's First Name

Spouse's Last Name

Spouse's Hebrew Name

Spouse's Email Address

Spouse's Phone Number

* Home Address

Children's Names and Birthdays

* Were all the members of your family born Jewish?

YesNo

If not, please explain:

* Would any family member like to participate in services (Chazan/ Layning)?

YesNo

* Would any family member like to participate in committees?

Previous Synagogue Affiliation:

Other Synagogue Affiliations:

Thank you for filling out the Green Road Synagogue member ship application. The office will contact you shortly to discuss membership dues.

Wed, October 23 2019 24 Tishrei 5780

Green Road Synagogue ♦ 2437 South Green Road, Beachwood, Ohio 44122 ♦ 216-381-4757

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