A Friendly Egalitarian Conservative Congregation
NEW MEMBER FORM #1
MEMBER INFORMATION
Please furnish the following information:
Know that your privacy is of the utmost importance to us. We will not share your information with anyone outside of the Marathon Jewish Community Center.
Name (Male) Date of Birth Hebrew Name Select One: Kohayn Levi Israelite Name (Female) Date of Birth Hebrew Name Street Address Apt # City State Zip Code Number of Children Home Telephone Holiday Seating OCCUPATIONAL INFORMATION (MALE) Occupation Firm Name Street Address Address (cont.) City State Zip Code Work Phone FAX E-mail OCCUPATIONAL INFORMATION (FEMALE) Occupation Firm Name Street Address Address (cont.) City State Zip Code Work Phone FAX E-mail
OCCUPATIONAL INFORMATION (MALE)
Zip Code
Work Phone
FAX
E-mail
OCCUPATIONAL INFORMATION (FEMALE)
Occupation
Firm Name
Street Address
Address (cont.)
City
State
HOME
© Copyright 2007 - 2008 | Marathon Jewish Community Center | All Rights Reserved
If you have any questions or concerns, please feel free to contact the Temple Office
at 718 428 1580. Also, a copy of the MJCC constitution is available upon request.