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Home > Membership > New Member Application

Membership Application

New Member Application Instructions

This is the membership application page for the membership year beginning Sept. 1, 2025.  To apply for a new membership in Beth El Binah, please complete the online form below. 

For questions about the membership process, please contact a Board member.  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


You may input the name in either Hebrew or Latin characters.  A Hebrew keyboard will pop up, but you can dismiss it and type the Latin characters.
Note that this email address will also serve as the username when logging in to the Beth El Binah web site.
Adult 2

You may input the name in either Hebrew or Latin characters.  A Hebrew keyboard will pop up, but you can dismiss it and type the Latin characters.
This field is optional.  However, if it is omitted, this person will not be able to log in to the Beth El Binah web site.
Household Information
Children (still living at home)
 

For each child in the household, click the plus sign and add the child's name and birthday.

First and Last Names

Yahrzeits


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

For each yahrzeit, click the plus sign and add the information.

This must be a member of your household account.

Indicate how the deceased is related (e.g., Father, Sister, Friend)

Payment Information
Membership Levels
 Level  Single  Household  Benefits Include
Shalom  $425 $525 High Holiday Tickets
Mitzvah  $525  $725 High Holiday + Passover Seder Tickets
 Aliyah  $675  $925 High Holiday + Passover Seder Tickets
 Chai  $1375  $1625 High Holiday + Passover Seder Tickets and the members are recognized as underwriters of High Holiday services
 Student  $185  –   High Holiday Tickets
 Out of Town / Virtual Only  $185  $185  

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.
Members may bring guests to High Holy Days for $100 per guest.  (This includes all High Holy Days services).

Please indicate whether you will bring guest(s).
Guest Name
Guest Name
Guest Name
Guest Name

Specify a payment schedule:

  • Single payment – the full dues amount will be charged to your account
  • 12 monthly payments – your account will be charged for 12 equal payments, starting September 1 and continuing through the following August 1
  • Custom payment schedule – your account will be charged as you specify in the "Notes" field below.  (For example, "quarterly payments starting Sept. 1", or "6 monthly payments starting Sept. 1")
Please let us know of any special considerations.
After you press "Submit" below, your application will be processed.
Fri, November 7 2025 16 Cheshvan 5786