Gold Coast Hebrew Congregation Membership Application/Renewal

Name: Gold Coast Hebrew Congregation Membership Application/Renewal
Availability: InStock

$0.00

New memberships and renewals are due on the 1st of June each year.

Deprecated: get_product is deprecated since version 3.0! Use wc_get_product instead. in /home/goldcohc/public_html/wp-includes/functions.php on line 5212

Name*
Title First Names Surname
Date of Birth*
Date Format: DD slash MM slash YYYY
Residential Address*
Street Address Address Line 2 City State Postcode
Phone*
Mobile
Fax
Email*
- Tick if you wish to receive Shule news by email
Mailing Address*
Same as previous

Street Address Address Line 2 City State Postcode
Yahrzeit Registry
Hebrew Name Date

Please insert names and dates for inclusion on our Yahrziet registry.
Membership Type*
- Full membership: $480.00
- Pensioner membership (Pension card may be required): $240.00
- Interstate or non-Gold Coast resident: $185.00
- Over 80 years of age and have been a member for 10 years plus: $135.00
- Full time student membership: $70.00
- I wish to discuss my membership (confidentially) with the Treasurer or President.
Total
$ 0.00
Comments
This field is for validation purposes and should be left unchanged.

Category: Membership & Registration

Hebrew Name	Date