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Membership Form
Please verify reCaptcha before submitting the form.
Please help us get to know your family. How many adults will be on this Membership account?
Please Select One
One Adult
Two Adults
*
First Name
*
Last Name
Nick Name
*
Date of Birth
*
Mobile Number
*
Email Address
Gender
N/A or Unknown
Male
Female
*
Adult 1 Hebrew Name
*
Jewish by:
Please Select One
Birth
Choice
Not Jewish
Date of Conversion
Rabbi who performed Conversion
Location of Conversion
*
Occupation
*
Current Employer
Work Phone
Do you have any physical restrictions or special needs
Areas of Interest
Adult Education Committee
Adult Bnai Mitzvah Program
Building Committee
Brotherhood
Chesed/Cooking
Haftorah Reader
High Holiday Usher
Inclusion Committee
Membership Committee
Morning-or-Friday-Evening-Minyan
Please select all options that are of interest to you.
Prayer Leader (Bnai Tefilah)
Preschool
Program Committee
Ritual Committee
Religious School
Shabbat Host
Single Activities
Sisterhood
Torah Reader
Young Adult
Please click the + button to add each yahrzeit to this Member.
Deceased Name
Relationship to Adult 1
English Date of Death
Before/After Sunset
Please Select One
Before Sunset
After Sunset
I Do Not Know
Place of Burial
*
Frist Name
*
Last Name
Nick Name
*
Date of Birth
Phone Number
Email Address
Gender
N/A or Unknown
Male
Female
*
Adult 2 Hebrew Name
*
Jewish by...
Please Select One
Birth
Choice
Not Jewish
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
Areas of Interest
Adult Education Committee
Adult Bnai Mitzvah Program
Building Committee
Brotherhood
Chessed/Cooking
Haftarah Reader
High Holiday Usher
Inclusion Committee
Membership Committee
Minyan
Please select all options that are of interest to you.
Prayer Leader (Bnai Tefilah)
Preschool
Program Committee
Ritual Committee
Religious School
Shabbat Host
Singles Activities
Sisterhood
Torah Reader
Young Adult
Please click the + button to add each yahrzeit to this Member.
Deceased Name
Relationship to Adult 1
English Date of Death
Before/After Sunset
Please Select One
Before Sunset
After Sunset
I Do Not Know
Place of Burial
*
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
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
--Select State--
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ZIP CODE
Home Phone
How did you hear about Hebrew Educational Alliance?
How many children through college will be on this Membership account?
Please Select One
None
One Child
Two Children
Three Children
Four Children
*
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.
Please Select One
Couple or Family
Single / Individual
Young Couple (ages 21 - 35)
Young Single (ages 21 - 35)
Associate (This type of membership does NOT include High Holiday Tickets, and children of Associate Members are NOT entitled to enroll in the Religious School or receive a bar/bat mitzvah date)
Membership-Plus---4720
Chai---6425
Patron---8835
Cantors-Circle---11342
Rabbis-Circle---15530
I-will-contact-the-office-regarding-financial-assistance-and-or-how-I-want-to-pay
Total Membership Fee
Sun, September 24 2023 9 Tishrei 5784