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How many adult Members are part of this membership?

Member 1 - First Name

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Interest or skills?

Do you play a musical instrument? if so, what instrument?

Member 2 - First Name

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Interest or skills?

Do you play a musical instrument? if so, what instrument?

Does Member 2 live at the same address?

Member 2 - Home Address

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How many children live in your home?

First Name

Last Name

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Date of Birth

School Grade

Name of School

Will attend:

Gan Shalom Nursery School Synagogue SchoolTeen Programming

First Name

Last Name

Gender

Date of Birth

School Grade

Name of School

Will attend:

Gan Shalom Nursery School Synagogue SchoolTeen Programming

First Name

Last Name

Gender

Date of Birth

School Grade

School Name

First Name

Last Name

Gender

Date of Birth

School Grade

School Name

Will attend:

Gan Shalom Nursery School Synagogue SchoolTeen Programming

First Name

Last Name

Gender

Date of Birth

School Grade

School Name

Will attend:

Gan Shalom Nursery School Synagogue SchoolTeen Programming

First Name

Last Name

Gender

Date of Birth

School Grade

School Name

Will attend:

Gan Shalom Nursery School Synagogue SchoolTeen Programming

Are there other adults living in the same household?

Please list any adult children or grandchildren that are members of your household.

If you want a notice sent to you as a reminder of an upcoming yahrzeit, please click the + button to add each yahrzeit.

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How or from what source did you learn about the Reconstructionist Synagogue of North Shore

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* Please select your annual membership support level

Every person is valued at RSNS and we would never turn anyone away due to a financial hardship. If you need financial assistance, please choose 'I am requesting financial aid' in the dropdown menu above and contact Liza Wilson at ExecutiveDirector@rsns.org

* To further the work of RSNS and for capital improvement, members agree to pay a one-time fee of $1815 to RSNS (for its Building Fund) payable:

Total

Fri, April 19 2024 11 Nisan 5784

Reconstructionist Synagogue of the North Shore

1001 Plandome Road

Plandome, NY 11030

516-627-6274

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