Membership Form - Form - Hebrew Educational Alliance

Please help us get to know your family. How many adults will be on this Membership account?

* First Name

* Last Name

Nick Name

* Date of Birth

* Mobile Number

* Email Address

Gender

* Adult 1 Hebrew Name

* Jewish by:

Date of Conversion

Rabbi who performed Conversion

Location of Conversion

* Occupation

* Current Employer

Work Phone

Do you have any physical restrictions or special needs

Please click the + button to add each yahrzeit to this Member.

Deceased Name

Relationship to Adult 1

English Date of Death

Before/After Sunset

Place of Burial

* Frist Name

* Last Name

Nick Name

* Date of Birth

Phone Number

Email Address

Gender

* Adult 2 Hebrew Name

* Jewish by...

Date of Conversion

Rabbi who performed the conversion

Location of the conversion

Occupation

Current Employer

Work Phone

Do you have any physical restrictions or special needs

Please click the + button to add each yahrzeit to this Member.

Deceased Name

Relationship to Adult 1

English Date of Death

Before/After Sunset

Place of Burial

* Marital Status

Date of Marriage

Emergency Contact (Not living with you)

Emergency Contact Phone Number

Emergency Contact Relationship

How would you like your mail addressed to you?

Address

City

State

ZIP CODE

Home Phone

How did you hear about Hebrew Educational Alliance?

How many children through college will be on this Membership account?

* English Name

Hebrew Name

* Date of Birth

* Place of Birth

* English Name

Hebrew Name

* Date of Birth

* Place of Birth

* English Name

Hebrew Name

* Date of Birth

* Place of Birth

* English Name

Hebrew Name

* Date of Birth

* Place of Birth

This form is for NEW members. If you are a current member wishing to pay your dues, please log in to your account or call the office for assistance.

The amount you will be billed is based on the month after joining through April 2024. For example, if you join in September, your bill for the year will be computed from October through April.

If you have financial concerns or questions or if you are planning on joining at the Plus Member level, please contact our Finance Director, Caryn Osterman, at caryn@HEAdenver.org. We welcome your membership in the Congregation Hebrew Educational Alliance.

MEMBERSHIP TYPE	PRO-RATED ANNUAL DUES AS OF SEPTEMBER 1
Couple or Family	$1,722
Single / Individual	$861
Young Couple (ages 21 - 35)	$644
Young Single (ages 21 - 35)	$322
Associate Member	$574

Please select your Membership Type below:

* Please select your Membership Type below.

Total Membership Fee