Congregation Beth Israel

Home to the Jewish Community of Lebanon, Pennsylvania

(717) 273-2669
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Membership includes complimentary religious school and High Holy Day tickets. For more information about our membership, please feel free to contact us.

Membership Application

"*" indicates required fields

Your Name*

Hebrew Name

Date of Birth*

Spouse's Name

Spouse's Hebrew Name

Spouse's Date of Birth

Anniversary Date

Children

Name

Hebrew Name

Date of Birth

Are you a:

Kohen

Levi

Yisrael

Is your spouse a:

Kohen

Levi

Yisrael

Home Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Email*

Work Email

Business Address

Street Address Address Line 2 City State ZIP Code

Business Phone

Yahrzeits

If you observe any yahrzeits, please list them below.

Name

Date of Death

Relationship

Please check committees or activities of interest to you:

Leading Services

Minyan

Teaching Hebrew School

Adult Education

Sisterhood

Board of Education

Ritual Committee

Hadassah

Other

If other, please describe below:

While we welcome all spiritual paths, in order to be a member you must be of the Jewish faith. Do you believe in any other religion? Please describe your path to Judaism.

Signature*

I hereby apply for membership in Congregation Beth Israel of Lebanon, Pennsylvania. In the event of my acceptance as a member, I agree to abide by the constitution, by-laws and other rules and regulations of the congregation now in force or hereafter to be adopted, and pay the amount of dues, as may be established.

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411 South 8th Street, Lebanon, PA 17042|(717) 273-2669|Email Us