Membership Application

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Membership Form *

Title *

Name *

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Last

Address *

Line 1

Line 2

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Cel Phone Number *

Spouse Name *

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High Holidays seats request *

Men Side Women Side Same as last year No Seats Needed

Please specify how many seats do you need in each side *

Membership Type *

Full Membership $495.00 - Entitles for 2 Seats for High Holidays Associate Membership $250.00- No Seats Single Membership $275.00- Entitle for 1 Seat Teachers & Rabbis $150.00- Entitle for 2 seats

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Location

Young Israel of Greater Miami

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