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Membership Application 2019-2020

Welcome to Shomrei!

We hope you feel at home, engaged, and inspired. We offer multiple minyanim, diverse learning programs, and exciting events for all ages throughout the year. 

Membership Levels

Full Membership - $680 + $50 Security Fee
30 & Under* Membership - $340 + $50 Security Fee
Weekday Membership - $340 + $50 Security Fee
Friends Of Membership - $180  

*For families where either spouse is 30 and under.

If you are interested in becoming a Friend of Shomrei, please contact the office.

What's your name?

Title

First Name

Last Name

Spouse's Title

Spouse's First Name

Spouse's Last Name


Contact & Household Information

Email

Mobile #

Home Phone # if applicable

Birthday

Spouse's Email

Spouse's Mobile #

Spouse's Birthdate

Address & Street

Apartment/Unit # (if applicable)

City

State

Zip Code

Country

Please select how many children you have.


Yahrzeit Information

Please select how many yahrtzeits you observe.

Please click here to contact the office to inquire about purchasing a memorial plaque. 

Please feel free to give us any other information about you, your family, interests or areas of expertise.
Member Photo
Would you like to share a photo of you and your family? Click here or drag a photo to upload. 

Total Amount Due

Fri, December 14 2018 6 Teves 5779