New Member Registration and Dues Payment - Form - Congregation B'nai Avraham of Brooklyn Heights

Welcome to Congregation B'nai Avraham of Brooklyn Heights. We are glad you've decided to you join us!

Please fill out the Membership Application below.

Membership categories are:

Family: $1,000 per year (including children)
Individual: $500 per year
Senior: $300 per year
Student: $300 per year

The General Applicant Information section includes questions that apply to you as an individual (if you are applying as a single member) or to your household (if you are applying as a family). After that, you will find additional questions relating to you and to your household. Where an asterisk appears, an answer is required.

You'll have an opportunity to enter more information (including yahrzeit dates if applicable) directly into your personal account once your application is complete and dues are paid.

After your application is submitted, you should receive an automatic confirmation (if you do not receive this confirmation, please notify office@bnaiavraham.org). You'll receive a formal welcome to Congregation B'nai Avraham when your application is approved.

If you prefer to fill out a paper application, click here to download a PDF, then mail the application with your check (as directed on the paper application).

Membership is based on calendar year (January through December).

Should you encounter a problem with this form or have any questions, please email office@bnaiavraham.org for help.

GENERAL APPLICANT INFORMATION

* Street Address

* City

* State

* Zip

Mailing Address (if different from above)

Recent Synagogue Affiliations

Communal Affiliations

* Introduced to CBA by

PRIMARY MEMBER (for communications)

* First Name

Middle Name

* Last Name

* Title

* Gender

* Marital Status

Bar/Bat Mitzvah Parsha

* Hebrew Name

Men Only

Occupation/Profession

Employer

Business Address

* Primary Phone

CellLandline

Secondary Phone

CellLandline

* Primary Email

Secondary Email

* Father's English Name

* Father's Hebrew Name

* Mother's English Name

* Mother's Hebrew Name

ADDITIONAL MEMBER

First Name

Middle Name

Last Name

Title

Hebrew Name

Men Only

Occupation / Profession

Employer

Business Address

Primary Phone

Check One

CellLandline

Secondary Phone

Check One

CellLandline

Primary Email

Secondary Email

Father's English Name

Father's Hebrew Name

Mother's English Name

Mother's Hebrew Name

CHILDREN

English Name

Hebrew Name

Date of Birth (MM/DD/YYYY)

School and Grade

English Name

Hebrew Name

Date of Birth

School and Grade

English Name

Hebrew Name

Date of Birth

School and Grade

YAHRZEITS

Please click here if you have Yahrzeit information to enter.

NOTICE

The names and addresses of members are made available to other members.

Check here to also make your EMAIL available.Check here to also make your PHONE available.

No one will be denied membership because of financial hardship.

Please have the Synagogue President contact me to confidentially discuss a reduced membership commitment.

SIGNATURE

Please enroll me/us as a member of Congregation B'nai Avraham of Brooklyn Heights, subject to the By-Laws and the Terms and Conditions of Membership as may be updated on the Synagogue's website. Applications will be processed after payment is received and are subject to approval by the Synagogue.

* Membership Type: PICK ONE to see dues schedule and continue.

* Please type your name again below to acknowledge that all information on this form is correct. And please email a picture of your photo ID to office@bnaiavraham.org.

Upon hitting the submit button, you will be directed to a payment page where you can pay for your membership by credit card. After you do so, you will be asked to create a password for your personal membership account.

Please visit your personal account page to enter additional information (including Yarzeit information if applicable) and view opt-out options for email alerts.

If you prefer to pay by check, you may do so by making it payable to Congregation B'nai Avraham and mailing it to Membership, 117 Remsen Street, Brooklyn NY 11201. Please write "membership dues" in the memo line.

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