Membership Application

Thank you for your interest in membership.
Our community is made up of a diverse group of people from various levels of observance, who come together for learning,
spiritual growth, social interaction and friendship. We invite you to join our growing family and be part of this wonderful community.

 

We now offer the option of monthly payments or annual payments for membership dues.
Membership Benefits and Categories:

Basic Memberships
Individual…..$40/month or $480 annually
Family…..$60/month or $720 annually
Family (Under 35 Years)…..$40/month or $480 annually
Single
…..$480 annually
Student
…..$15/month or $180 annually
Vote at member meetings
Discounts to most Shul events
Receive Purim basket
Complimentary annual members’ Shabbat dinner
Discounted rate on renting shul facility for private event
10% discount to JLI courses
Belonging to welcoming Jewish community and building lifelong friendships

Patron
$90/month
All of the above, plus:
5 complimentary listings in Yiskor book
One box of Shmura Matzah for Pesach
Dedication of 2 prayer books in your honor

Benefactor
$180/month
All of the above, plus:
One “free” Kiddush sponsorship
Two complimentary tickets to gala dinner

Shul Pillar
$360/month
All of the above, plus:
Lulav and Etrog set for Sukkot
Two “free” Kiddush sponsorships (includes one from Benefactor)
Invitation to annual social event for Shul Pillars and Founders
5% discount on preschool tuition
Free entry to all shul events

Shul Founder
$720/month
All of the above, plus:
Four “free” Kiddush sponsorships (includes two from Pillar)
One Gold leaf on Tree of Life
One Full Page ad in Gala Tribute Journal
Invitation to annual social event for Shul Pillars and Founders



Name
Address
City
State
Zip
Home Phone
Work Phone
Fax
*Email (*required)
Hebrew Name
Birthdate (mm/dd/yyyy)
Father’s Hebrew Name
Mother’s Hebrew Name
Jew by Birth or Converted? (If converted, please mail or fax conversion certificate)
Spouse’s Name
Spouse’s Hebrew Name
Spouse’s Birth Date (mm/dd/yyyy)
Father’s Hebrew Name
Mother’s Hebrew Name
Jew by Birth or Converted? (If converted, please mail or fax conversion certificate)

Please mark the applicable with an X:

Cohen Levi Israel

Marital Status:

Single Married Divorced Widowed
Anniversary Date

If divorced, do you have a Jewish “Get?”

Yes No

Are you or anyone in your immediate family adopted?
Yes No
If Yes, Please Explain
Name Birthdate
Name Birthdate
Name Birthdate
Name Birthdate
Name Birthdate
Prior Jewish Education
Special Talents
Occupation
Spouse’s Occupation

Activities you are interested in:

Educational Classes
Volunteer Work
Shabbat Dinners
Counseling
Hebrew
Other
Other Organizational Affiliations

New Member

Renewal

Shul Founder…………..$720 per month/$8,640 annually
Shul Pillar…………….$360 per month/$4,320 annually
Benefactor…………..$180 per month/$2,160 annually
Patron…………..$90 per month/$1,080 annually
Family…………..$720 annually
Family (Under 35 Years)…………..$40 per month/$480 annually
Single…………..$480 annually
Student…………….$15 per month/$180 annually

Contributions are tax-deductible to the full extent allowed by law.

Note: All contributions are tax deductible

Please send a check or use the online secure payment box that will be available after you submit this form.

Please mail check to:
Historic Congregation B’nai Abraham
527 Lombard Street
Philadelphia, PA 19147

For additional information, please Call: 215-238-2100 | Fax (215)238-2101