Membership Application

Eitz Chayim of Dogwood Park
Membership and Supporter Application Form

Please include the following account information so that we have this important information available about you. Address and contact information will be made available to other members, unless you direct otherwise. Membership is not valid until payment is made and application is approved by shul officers.

Family Name

Address Street

City

State

Zip Code

Home Phone

ADULT #1 (PRIMARY ON ACCOUNT)

First Name

Last Name

Date of Birth (Optional)

Hebrew Name

Mother's Hebrew Name

Father's Hebrew Name

Email Address

Cell Phone

ADULT #2

First Name

Last Name

Date of Birth (Optional)

Hebrew Name

Mother's Hebrew Name

Father's Hebrew Name

Email Address

Cell Phone

Male is:

CohenLeviYisroel

Member's Bar Mitzvah Parsha

Children

Name

Hebrew Name

Date of Birth

Bar / Bat Mitzvah

Yahrtzeit Information

Name (Last, First)

Hebrew Name

Date of Death

Hebrew Date of Death

Relationship to Member

Name of member

Congregation Eitz Chayim of Dogwood Park is a member supported institution. We welcome all those who either regularly or occasionally attend services to apply for membership. The active support and involvement of the community enables ECDP to operate and grow. With your support our ongoing construction effort will enable us to continue to serve the needs of our growing community.

Annual Dues

Family Membership ($1600 Full Year - Pay Now)Family Membership ($800 Half Year - Pay Now)Supporter (Associate) Dues ($850)Other (Please contact me regarding dues)

Payment Towards Building Fund: $2000 payable over 4 years

No building fund payment is required at this time.

Total

Wed, May 1 2024 23 Nisan 5784