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Temple Beth El Bakersfield
Bakersfield's Reform Synagogue
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Membership Application
Temple Beth El Membership Application
Adult Member 1 (M1)
Family Name
First Name
Hebrew Name
Date of Birth
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Adult Member 2 (M2)
Family Name
First Name
Hebrew Name
Date of Birth
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Religious Tradition M1
Reform
Conservative
Orthodox
Jew by Choice
Religious Tradition M2
Reform
Conservative
Orthodox
Jew by Choice
Contact Information M1
Home Phone
Cell Phone
Email
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Contact Information M2
Home Phone
Cell Phone
Email
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Marital Status
Single
Married
Widowed
Date of Marriage
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Dependent Children with Hebrew Name, Date of Birth and School Grade Lever
Yahrzeit Information - Please include Name, Relationship, Date of Death and if you prefer to use English or Hebrew Calendar
M1 is interested in
Adult Education
Buildings/Grounds Work
Caring Committee
Fund Raising
Religious School
Kitchen Committee
Library
Membership
Religious Practices
Shofar (Temple News Letter)
Vision
M2 is interested in
Adult Education
Buildings/Grounds Work
Caring Committee
Fund Raising
Religious School
Kitchen Committee
Library
Membership
Religious Practices
Shofar (Temple News Letter)
Vision
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