2024 YPM Membership Drive - Form - Riverdale Jewish Center

Thank you to an anonymous donor who has generously subsidized 2024 membership for couples with at least one spouse still in full-time school (whether undergrad, graduate, or internship stage). This subsidy is available for the first 10 couples to apply. The $900 dollar membership will be subsidized by $400, so the membership for this year will be only $500. If you choose to pay in installments, that totals $45.45 per month through the end of the year.

* 2024 MEMBERSHIP OPTIONS

Please Select OneI would like to take advantage of the special rate of $500

* Your First Name

* Your Last name

* First Name - Spouse

* Last Name - Spouse

* Email Address

* Please Indicate Birthdates for both spouses

* Personal Information - Please click YES if you are a NEW member

Please Select OneMy personal information is unchangedYes - My personal information has changed or I am a NEW member

This section includes names, addresses (including email) and phone numbers. To update yahrtzeit information, add additional family member names, and select communication options please go to your account information under "My Account."

Please fill in any of the following fields that have changed

* Address

Apartment

City

State

* Zip

* Phone

Your Birth date

Birth Date - Spouse

* Your Cell

* Cell Phone - Spouse

* Your Occupation

* Spouse's Occupation

* Your Email Address

* Email Address - Spouse

Permissions

Yes - Allow RJC members to view my contact informationNo - Do Not allow RJC members to view my contact information

Check "Yes" to allow fellow RJC members to see your address and contact information when logged into their ShulCloud account.

Total

* I will be paying my membership by

Please Select OneBilling my account and mailing a check - You Must Be Logged Into Your Account To Bill MembershipCredit Card (please submit on the next page)