New Member Application - Darkhei Noam

JOIN NOW FOR 5786 (2025-26) MEMBERSHIP!
Darkhei Noam New Member Application 5786 (2025-2026)
THIS FORM IS FOR NEW MEMBERS ONLY.

To renew current membership, please click HERE.

Please choose your 5786 membership type (2025-2026 rates):Individual - $450Couple - $900Family - $1100Student / Recent Graduate - $200Non-Resident* - $220

New Individual, Couple, and Family members may receive a $150 discount for their first two years of membership by using the code "New" at checkout.

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

* Non-Residents Membership is available to those living outside the Darkhei Noam area.

* Manhattan Eruv

Please Select oneYes, I will contribute $25.No, I will not be supporting the Eruv.

Darkhei Noam has a yearly financial commitment to the Manhattan Eruv. The Eruv is vital to our community. We urge you to support their work, by making this additional $25 contribution.

Your Name and Information

* 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 Birthdate(s) of Child(ren)

Please list the name(s) and birthdate(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.

Notes or Comments

New Individual, Couple, and Family members may receive a $150 discount on their first two years of membership by using the discount code "New" on the following page

Total Contribution: