Membership type
What type of membership are you applying for?
*
Please select
Individual
Family
Country Individual
Country Family
Associate
Student Under 25
Student Over 25
Main applicant
Prefix
Please select
Mr.
Mrs.
Ms.
Miss
Dr.
Rabbi
Other
First name
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Middle name
Surname
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Date of birth
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Full Hebrew name
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Tribal status for Torah honours
*
Please select
Kohen
Levi
Yisrael
Have you converted to Judaism?
*
Please select
No
Yes
Please upload evidence of Jewish status, such as a ketubah or parents' conversion certificate
*
PDF, JPEG, PNG, WEBP, DOC, or DOCX. Maximum 8 MB per file.
Household contact
First line of address
*
House, apartment, flat number or name
Town/City
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County
*
Postcode
*
Phone number
*
Email address
*
Children
Number of children under 18 in full-time education
*
Community details
Do you speak any other languages?
*
Please select
No
Yes
Do you belong to any other synagogues?
*
Please select
No
Yes
Have you belonged to any other synagogues in the past?
*
Please select
No
Yes
What inspired you to join Kehillat Or Tzion?
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Do you have any special interests, talents, or skills you would like to share?
*
Please select
No
Yes
Yahrzeit details you wish to include
Finance and documents
Preferred Direct Debit collection date
*
Please select
1
8
18
25
Would you like to join the JJBS Burial Scheme?
*
Please select
No
Yes
Please upload an identification document, for example passport or driving licence
*
PDF, JPEG, PNG, WEBP, DOC, or DOCX. Maximum 8 MB per file.
Consents and emergency contact
I agree to abide by the synagogue Code of Conduct.
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I am a UK taxpayer and would like Kehillat Or Tzion Synagogue to reclaim Gift Aid on this and any future donations I make.
I confirm the information provided is accurate and consent to the membership processing and data-sharing statement.
*
Emergency contact name
*
Emergency contact telephone number
*
Security check
Submit membership application