Membership

FAMILY MEMBERSHIP APPLICATION

If you would like to become a BCMH member or Associate Member (paying full membership dues at another synagogue), please download our Family/Single Membership Application here.

Once you have filled out the application, please drop it off at the BCMH office.

HUSBAND:

First Name

Last Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

Bar Mitzvah Parsha

Please check one
KohenLeviYisrael

WIFE:

First Name

Maiden Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

FAMILY:

Wedding Date

Are you a member of any other Synagogue?

If so, please list the name(s) here:

Has any member of your family been converted?

If yes, please email a copy of the conversion certificate to office@bcmhseattle.org.

Yahrzeit Dates: (if applicable)
Please record the English date, Hebrew date (in English), Name & Relationship

Children: (if applicable)
Please record the name, birthdate, marital status and Bar Mitzvah Parsha for each child

Any other important information

FAMILY MEMBERSHIP APPLICATION

If you would like to become a BCMH member or Associate Member (paying full membership dues at another synagogue), please download our Family/Single Membership Application here.

Once you have filled out the application, please drop it off at the BCMH office.

HUSBAND:

First Name

Last Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

Bar Mitzvah Parsha

Please check one
KohenLeviYisrael

WIFE:

First Name

Maiden Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

FAMILY:

Wedding Date

Are you a member of any other Synagogue?

If so, please list the name(s) here:

Has any member of your family been converted?

If yes, please email a copy of the conversion certificate to office@bcmhseattle.org.

Yahrzeit Dates: (if applicable)
Please record the English date, Hebrew date (in English), Name & Relationship

Children: (if applicable)
Please record the name, birthdate, marital status and Bar Mitzvah Parsha for each child

Any other important information

FAMILY MEMBERSHIP APPLICATION

If you would like to become a BCMH member or Associate Member (paying full membership dues at another synagogue), please download our Family/Single Membership Application here.

Once you have filled out the application, please drop it off at the BCMH office.

HUSBAND:

First Name

Last Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

Bar Mitzvah Parsha

Please check one
KohenLeviYisrael

WIFE:

First Name

Maiden Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

FAMILY:

Wedding Date

Are you a member of any other Synagogue?

If so, please list the name(s) here:

Has any member of your family been converted?

If yes, please email a copy of the conversion certificate to office@bcmhseattle.org.

Yahrzeit Dates: (if applicable)
Please record the English date, Hebrew date (in English), Name & Relationship

Children: (if applicable)
Please record the name, birthdate, marital status and Bar Mitzvah Parsha for each child

Any other important information

FAMILY MEMBERSHIP APPLICATION

If you would like to become a BCMH member or Associate Member (paying full membership dues at another synagogue), please download our Family/Single Membership Application here.

Once you have filled out the application, please drop it off at the BCMH office.

HUSBAND:

First Name

Last Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

Bar Mitzvah Parsha

Please check one
KohenLeviYisrael

WIFE:

First Name

Maiden Name

Hebrew Name

Complete Home Address

Home Phone

Cell Phone

Birthdate

Occupation

Business Address

Business Phone

Email Address

FAMILY:

Wedding Date

Are you a member of any other Synagogue?

If so, please list the name(s) here:

Has any member of your family been converted?

If yes, please email a copy of the conversion certificate to office@bcmhseattle.org.

Yahrzeit Dates: (if applicable)
Please record the English date, Hebrew date (in English), Name & Relationship

Children: (if applicable)
Please record the name, birthdate, marital status and Bar Mitzvah Parsha for each child

Any other important information

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