Edmond J. Safra Synagogue Membership Application - Form

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Join the Edmond J. Safra Synagogue and Continue its Legacy with a Promise to the Future

At the Edmond J. Safra Synagogue, we welcome all community members to join our services and programs. We encourage you to take the next step and make a commitment to support our community's growth and vitality. Your membership helps us preserve our cherished traditions and ensures that we pass them down to future generations.

Our membership comes with special benefits, including high-priority seating in the Main Sanctuary during the High Holidays, discounted access to our beautiful space for all joyous occasions, and reduced registration fees for special events. We offer various membership levels to suit your unique needs and you'll be joining a vibrant community of like-minded individuals.

***Please note that we reserve the right to decline registration at our sole discretion pending review of your application and interview. We will notify you once your application has been accepted.

* Please select your membership type

Please Select OneFamily Membership: $1800/year level includes parent(s) and all single children under the age of 21Married Couples: $1200/year level is for families without children or with aged-out childrenYoung Family Membership: $720/year level includes married adults under 30 and includes children under the age of 7Single Adult Membership: $600/year level is for all unmarried adults above the age of 25Young Professional Membership: $360/year level is for unmarried young adults 21-25 who are not under a family membership

* Payment Options

Please Select OnePayment in FullPayment billed MonthlySelect your payment preference.

* Email or Postal Mail

* First Name

* Last Name

* Marital Status

Spouse's First Name (if applicable)

Spouse's Last Name (if applicable)

* Primary Email

Business Email

Spouse's Email (if applicable)

* Primary Mobile Phone Number

Home Phone Number

Spouse's Mobile Phone Number

* Home Address

*Include Apartment Number If Applicable

* City

* State

* Zip Code

Name of Business

Business Phone Number

Business Address

*Include Suite / Floor Number If Applicable

City

State

Zip Code

Spouse's Work Email Address

Spouse's Business Phone Number

* Primary Date of Birth

Spouse's Date of Birth

* Primary Hebrew Name

Spouse's Hebrew Name

* Tribe

Children's Name; Date of Birth; Grade; School Attending

Enter Birthday as: 01/01/0000

Azkarot (Yarhzeits): Name; Relationship; Date; English Date Night Fall Y/N

Please check all boxes that apply to your interests:

Daily Prayer

Sabbath Services

College Student Programming

Family Outing Programs

Women's Club

Mommy & Me Program

After School Kitab- Talmud

Bar/Bat Missva Lessons

Adult Beginner Prayer Classes

Adult Beginner Hebrew Class

Lectures and Sephardic History Culture

Secular Lecture

Culture, Business, Health

Hessed Activities

Fundraising Events

Other Interests

Once submission is reviewed and approved you will be notified and provided a link for payment.

I hereby authorize Edmond J. Safra Synagogue to use the above information to contact me regarding events, programming and life cycle events via email or regular mail.