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New Member Application Instructions

To apply for a new membership in Beth El Binah, please complete either the online form below or print and mail the application at the bottom of this page.

For questions about the membership process, please contact our membership chair.  If you have trouble with the online form, contact the webmaster.  For contact information, see Contact Us.

Note: If you are a current member, please use the renewal form instead.  To access the renewal form, first log in.  Then, under the MEMBERSHIP drop-down menu, select CURRENT MEMBER RENEWAL.  If you have difficulty logging in, please contact the webmaster.

Online Membership Application Form

Please indicate the number of adults in the household.

Adult 1

Adult 2

Household Information

Children (still living at home)

First-name Last-name

First-name Last -name

First-name Last-Name


You can supply yahrzeit information here, or fill it in later after your online account is created.

Payment Information

Membership Levels
 Level  Single  Household  Benefits Include
Shalom  $325 $425 High Holiday Tickets
Mitzvah  $425  $625 High Holiday + Passover Seder Tickets
 Aliyah  $575  $825 High Holiday + Passover Seder Tickets
 Chai  $1275  $1525 High Holiday + Passover Seder Tickets and the members are recognized as underwriters of High Holiday services
 Student  $125  –   High Holiday Tickets
 Out of Town  $100  $100  

Beth El Binah will not deny membership due to financial need.
Please contact any board member to discuss dues relief. 

Select your membership level.  Refer to the table above.

If you plan to pay by check, please indicate whether you want to be charged a single payment or have the charge split into monthly payments.

If you plan to use PayPal, we will charge your account for the full amount; you will be able to split the payments later when you set them up online.

Each month we will send a statement to accounts that have payments due.

After you press "Submit" below, your application will be processed.

You may include a message to the Treasurer regarding your account.


Printable Membership Application Form

Click here to download the membership application form (PDF).

If you don't have a printer and wish to have a form mailed to you, please contact the webmaster.

Mon, February 19 2018 4 Adar 5778