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Membership Application


LOCAL FLORIDA ADDRESS
                                   "NORTHERN" ADDRESS

YOUR FAMILY INFORMATION
     SPOUSE'S FAMILY INFORMATION
If you wish to enter Hebrew Text, Click on the "Aleph" to access the Hebrew Keyboard

If you wish, you may enter your children's names below.  Press  to add a name.  Press  to delete an entry.
            ENGLISH NAME

Enter your observed Yahrzeits below.  Press  to add a Yahrzeit.  Press  to delete an entry.
If you wish to enter the Hebrew name in Hebrew, click on the "Aleph" to access the Hebrew Keyboard.
  OBSERVED BY       RELATIONSHIP      ENGLISH NAME                 HEBREW NAME                 HEBREW DATE

Additional Membership Options

Sat, September 25 2021 19 Tishrei 5782