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 REGISTRATION FORM 5771 MEMBERSHIP/HIGH HOLY DAYS (2010)

Walk-ins are welcome, pre-registrations greatly preferred - and appreciated!
You can pay online or print out this form and mail it to:
Keneset HaLev, c/o 2695 44th Ave, San Francisco, CA 94116

Your membership/donation helps sustain and build a safe place for all of us to explore the Jewish path and experience Jewish community. Keneset HaLev aims to be an inclusive community, open and welcoming to all.


* We can now accept online donation registrations via Paypal -- scroll down for info *
All membership and ticket prices are suggested donations.

__ YES, I want to become a supporting member of Keneset HaLev !
This includes tickets for all 5771 High Holy Day service. Membership is open to all, regardless of ability to pay.

Check
one		 Type of Membership Suggested
Donation
______ Individual - includes all services $250
______ Family (2+ members) - includes all services $360

__ I am not yet ready to become a member. I wish to attend the service(s) indicated below.

# tickets High Holy Days Service Suggested
Donation
______ All Services $200
______ Rosh HaShannah Evening $60
______ Rosh HaShannah Day $60
______ Yom Kippur Evening $60
______ Yom Kippur Day (includes Neilah and break-fast) $60
                  No one turned away for lack of funds - ever!

 __ I am making an additional contribution of $_______
Since 1996, your donations have made it possible for KHL to offer events to the community at little or no charge.

Register by donating online now:
(note your donation amount before clicking)

- OR - Print this form and mail in your donation:

Total Amount Enclosed: $_____________

Name(s): __________________________________________________________________________

Address: __________________________________________________________________________

Phone: _____________________________ Email: ________________________________________

__ Yes! I would like to help lead or do a reading in the service. Please contact me.

__ Yes! I would like to volunteer to help make services happen.

I found out about Keneset Ha Lev High Holiday Services by: ________________________________

Please send your payment to:
      Keneset HaLev
       c/o 2695 44th Ave
      San Francisco, CA 94116
      info@kenesethalev.org - 415.339.SHUL (4785)