YISD Membership Form - Form - Young Israel of San Diego

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YISD Membership Form

* I hereby apply for membership in the Young Israel of San Diego. I agree to pay membership dues of

Please select one$1,100 per year - Family$360 per year - Young Family (both spouses age 35 or younger)$550 per year - Single$240 per year - Young Single (age 35 or younger)$450 per year - Associate

* Primary First Name

* Primary Last Name

Email address

Spouse First Name

Spouse Last Name

Spouse Email address

Home Address

Address 2

City

State

Zip

Home Phone

Mobile Phone Primary

Mobile Phone 2

Wedding Anniversary Date

Tribe

Primary Birthday

Primary Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Spouse Birthday

Spouse Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Primary Member Occupation

Primary Member Business Name

Primary Member Business Phone

Primary Member Business Address

Spouse Occupation

Spouse Business Name

Spouse Business Phone

Spouse Business Address

Previous Synagogue Affiliation

City and State

Leadership positions

I am interested in the following levels of involvement

Adult Education describe your interestsFundraisingYouth Program/EventsHoliday ProgrammingTakes care of the "physical" shul)Membership (Welcoming New Members, etc.)Administrative WorkPublicityRitualFinanceSecurity Newsletter Website

If other, please explain here

Total

* Electronic Signature

Please enter your name in the field above between two slashes, so it appears as /name/

Thu, February 21 2019 16 Adar I 5779

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