Fri, June 26, 2026 Candle Lighting: 4:37 PM | Service Times: 5:30 PM

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Membership 2020-2021

ANNUAL PAYMENT

Couple Membership ($1200) Single Membership ($770) Student/Concession Membership ($350) Child Membership ($250)
12 MONTHLY INSTALLMENTS

Couple Membership ($110/month) Single Membership ($70) Student/Concession Membership ($30)
PAY WHAT YOU CAN for 1 entry to High Holiday service in Shul

$0 AUD
High Holiday Kids Program ($25 per child)
Total (inc. above selections)

$0.00 AUD
MEMBER 1

Title First Name Last Name
MOBILE Member 1
EMAIL Member 1
MEMBER 2

Title First Name Last Name
MOBILE Member 2
EMAIL Member 2
MEMBER 3

Title First Name Last Name
MOBILE Member 3
EMAIL Member 3

.
MEMBER 4

Title First Name Last Name
MOBILE Member 4
EMAIL Member 4

.

Address

Street Address
Street Address Line 2
Suburb	State
Post Code	Country

Mailing Address (if different)

Mailing Address
Mailing Address Line 2
Suburb	State
Post Code	Country

HIGH HOLIDAY CHILDREN'S PROGRAM
Bookings essential so we can ensure appropriate supervision.
Child 1

Child's First Name Child's Last Name
Child 1 Birth Date

Month Day Year
Child 2

Child's First Name Child's Last Name
Child 2 Birth Date

Month Day Year
Child 3

Child's First Name Child's Last Name
Child 3 Birth Date

Month Day Year
Child 4

Child's First Name Child's Last Name
Child 4 Birth Date

Month Day Year
ADDITIONAL DONATIONS
We have not increased our membership fees this year.
For those who are able, please consider sponsoring one or more of our ongoing expenses (see list below).
I would like to cover one month expenses of...

Security Expenses ($250) Gas ($75) Water ($150) Electricity ($1500) Pest Control ($37) Insurance ($120) Landline & Mobile ($160) Garbage Collection ($100) Commercial Cleaning ($2000) Children's Program Resources and Snacks ($320)
I would like to support...

Subsidised Membership ($420) Helping those in financial need (Enter amount below)

Payment Monthly installments will be charged as specified above.

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Notes and Comments
Should be Empty:

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