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Membership Application

Membership Application

LOCAL FLORIDA ADDRESS
                                   "NORTHERN" ADDRESS
Select Months For Addressing "Local Florida" Mail
     Select Months For Addressing "Northern" Mail
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
              HEBREW NAME
Enter your observed Yahrzeits below.  Press  to add a Yahrzeit.  Press  to delete an entry.
        OBSERVED BY      RELATIONSHIP      NAME OF DECEASED                    HEBREW DATE

 

Fri, November 16 2018 8 Kislev 5779