Membership Application - Darkhei Noam

Darkhei Noam Membership Form

Please choose your membership type (2022-2023 rates):Individual - $350Couple - $700Family - $850Student / Recent Graduate - $180Associate (non-residents and those with other synagogue affiliations) - $180

New Individual, Couple, and Family members under 35 may receive a $100 discount by using the code "New" at checkout.

Financial considerations are not a barrier to membership. If you cannot afford the membership rate, please email finance@dnoam.org.

Your Name and Information

You do not need to fill out the following information, except for name and email, if we already have it on file.

* First (required)

* Last (required)

* Email Address (required)

Cell Number

Occupation

Yahrtzeits

If you would like to receive a reminder email, please provide English and/or Hebrew names, dates, and relation.

Spouse/Partner's Name and Information (if applicable)

First

Last

Spouse/Partner's Email Address

Spouse/Partner's Cell Number

Occupation

Spouse/Partner's Yahrtzeits

If your spouse/partner would like to receive a reminder email, please provide English and/or Hebrew names, dates, and relation.

Child(ren)'s Name(s) (if applicable)

Name(s) and Birthday(s) of Child(ren)

Please list the name(s) and birthday(s) of your child(ren).

Interests

Please list any other areas of interest here.

Additional Donation

Membership dues cover only 30% of Darkhei Noam expenses. We invite you to make an additional contribution here.

Please enter $0 if you do not with to make an additional contribution.

* Manhattan Eruv

Darkhei Noam supports the Manhattan Eruv. The eruv is vital to our community. We hope you will support their work.

Notes or Comments

New Individual, Couple, and Family members under 35 may receive a $100 discount by using the discount code "New" on the following page

Total Contribution: