B'nai Israel Congregation
of Baltimore
The Center of Jewish Baltimore

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Membership Form

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B'nai Israel Congregation is a certified under the US Internal Revenue Code as an organization described in section 501 (c) (3).
 Online Membership Form: B'nai Israel Congregation of Baltimore

Please fill out the form below for your Donation. This form will be only be used by the B'nai Israel Congregation Office to ensure proper credit is given to the person making the donation. Please make sure that once you fill out the form, you click on the Gray Submit button at the bottom of the form. Then please scroll down to the Donation Payment button for Google Checkout. Fill in the appropriate donation amount  and then click on the Donate Google checkout Button. This will take you to the Google Checkout secure web page. Complete your transaction on the Google Secure Website.

Automatic Credit Card Payments are now available. You can now elect to have your credit card charged on a regular basis of weekly, bi-weekly, semi-monthly, monthly, quarterly, semi-annually, or annually. This optional feature allows you to donate on a regular basis or to spread out your donation over a period of time. To elect this option please download, print and send to B'nai Israel Congregation by mail or fax the Automatic Credit Card Billing Authorization Form.
 

B'nai Israel Congregation is now accepting Credit Card Payment via secure server from an e-mailed invoice Pledge Statement. Credit cards can also be used to pay for a donation via telephone by calling the office. You can now call the office and make a pledge and with a valid e-mail address and your donation Pledge invoice will be mailed to you with the ability to pay online at your convenience.

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Membership:
Type:

Member:
Full Name:
Home Address:
City:
State:
Zip Code:

Home Phone:
Business Phone:
E-mail Address:

Hebrew Name: Ben/Bas:
Please Check One:

Date of Birth:
Date of Marriage:
Father's Full Name English:
Father's Full Name: Hebrew: Ben:
Mother's Full Name English:
Mother's Full Name Hebrew: Bas:

If either parent is deceased, please give Yarhzeit dates.
Father: English Date: Hebrew Date:
Mother: English Date: Hebrew Date:

Spouse:
Full Name:
Home Address:
City:
State:
Zip Code:

Home Phone:
Business Phone:
E-mail Address:

Hebrew Name: Ben/Bas:
Please Check One:

Date of Birth:
Date of Marriage:
Father's Full Name English:
Father's Full Name: Hebrew: Ben:
Mother's Full Name English:
Mother's Full Name Hebrew: Bas:

If either parent is deceased, please give Yarhzeit dates.
Father: English Date: Hebrew Date:
Mother: English Date: Hebrew Date:

Children (in order of birth)

Name:
English:   Hebrew:    Date of Birth:
English:   Hebrew:    Date of Birth:
English:   Hebrew:    Date of Birth:
English:   Hebrew:    Date of Birth:

Additional Information or other notations:


Please click on the Submit button:

                       

Click Here to Pay Membership Online:

Please make sure that once you fill out the form, you click on the Gray Submit button at the bottom of the form. Then please scroll down to the Donation Payment button for Google Checkout. Fill in the appropriate donation amount  and then click on the Donate Google checkout Button. This will take you to the Google Checkout secure web page. Complete your transaction on the Google Secure Website.

$

B'nai Israel Congregation is a certified under the US Internal Revenue Code as an organization described in section 501 (c) (3).

NEW: Automatic Credit Card Payments are now available. You can now elect to have your credit card charged on a regular basis of weekly, bi-weekly, semi-monthly, monthly, quarterly, semi-annually, or annually. This optional feature allows you to donate on a regular basis or to spread out your donation over a period of time. To elect this option please download, print and send to B'nai Israel Congregation by mail or fax the Automatic Credit Card Billing Authorization Form.
 

B'nai Israel Congregation is now accepting Credit Card Payment via secure server from an e-mailed invoice Pledge invoice. Credit cards can also be used to pay for a donation via telephone by calling the office. You can now call the office and make a pledge and with a valid e-mail address and your donation Pledge invoice will be mailed to you with the ability to pay online at your convenience.


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[ Home ] [ Up ] [ Acknowledgements ] [ Architecture ] [ Bnai Israel Cemetery ] [ Board of Directors ] [ Calendar ] [ Classes ] [ Directory ] [ Donations ] [ High Holidays 5771 ] [ History ] [ Kiddush ] [ Prayer Times ] [ Our Rabbi ] [ Sisterhood ] [ Sunday Minyan ] [ What's New @ BI ] [ Yahrzeits ] [ Young Adults ] [ Links ] [ Synaplex ]

Send mail to webmaster@bnaiisraelcongregation.org with questions or comments about this web site.
Copyright © 2009 B'nai Israel Congregation
Last modified: 12/28/09   
B'nai Israel Congregation is certified under the US Internal Revenue Code as an organization described in section 501 (c) (3).