Members

Membership Info

 

  Please fill out the information below, then click on Add and we will mail you an information packet.
  Alternatively you may call our office or visit our synagogue at the address listed below.
  Thank you for your interest!


Request for Information
    * Your Name: 

 Spouse/Partner: 

        * Address: 

              * City:    * State:    * Zip: 
NOTE: We do not require your email and phone but we would appreciate it if your would enter this info so we can contact you.
Email Address:
 Day Phone:
 Night Phone:
Currently Affiliated?     Which Synagogue?     How Long?   (Years)
Children




 Sex




 Age




 Birthday




 Grade (K-12)




 School Name
How did your hear about BAI?:

Additional Information:

Would you like a tour of our synagogue?
Would you like to meet with our Rabbi?
Would you like to meet with our Hazzan?
Would you like to meet with our Education Director?
Would you like to meet with our Executive Director?