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Partnership

Partnership

                                                                                                                                                                                                                                                                                                                                                                                                                                     BS"D
Partnership Information

Please note, Chabad of Cutler Bay & Homestead does not require anyone to have to pay partnership  to participate in any services. However partnership will enable us to keep Our Chabad House functioning. .

Membership and tickets are never required for High Holiday services. All are always welcome!

SECTION I: YOUR INFO

SECTION II: SPOUSE'S INFO

Name

 

Name

Hebrew Name   Hebrew Name
Father's Hebrew
Name
  Father's Hebrew
Name
Mother's Hebrew
Name
  Mother's Hebrew
Name
Occupation   Occupation
Birth Date / /
MM / DD / YYYY format
  Birth Date / /
MM / DD / YYYY format
Jewish by: Birth Converted   Jewish by: Birth Converted
Check One: Cohen Levi Israel   Check One: Cohen Levi Israel

SECTION III: PERSONAL INFORMATION

Address   Email 1
City/State/Zip   Email 2
Home Phone   Marital Status
Work Phone   Anniversary Date / /
MM / DD / YYYY format
Work Fax   If Divorced: If divorced, do you have a
Jewish "Get" ? Yes No

SECTION IV: CHILDREN

Name

 

Birth Date

/ / After Sundown?
MM / DD / YYYY format

Name

 

Birth Date

/ /
After Sundown?
MM / DD / YYYY format

Name

 

Birth Date

/ /
After Sundown?
MM / DD / YYYY format

Name

 

Birth Date

/ /
After Sundown?
MM / DD / YYYY format

Name

 

Birth Date

/ /

After Sundown?
MM / DD / YYYY format

Name

 

Birth Date

/ /
After Sundown?
MM / DD / YYYY format
Are any children adopted? Yes No   If yes, give details, including any coversion info:

SECTION V: YAHRZEIT INFORMATION

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
  / /
After Sundown?
Date of Passing: MM / DD / YYYY
Relationship

SECTION VI: PARTNERSHIP CONTRIBUTIONS 
Learn more about Chai Club, Click Here.


 

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