Jamaica Plain, Massachusetts
Membership Information Form
1. Member Information
2. Address & Contact Information
3. Personal Dues Assessment
Suggested amount of annual membership dues is 1% of household income or more if possible. Please make your check payable to Nehar Shalom and mail to: Treasurer, Nehar Shalom Community Synagogue, 43 Lochstead Ave., Jamaica Plain, MA 02130 OR make your membership dues payment online via Click and Pledge. You will be presented the Click and Pledge link upon clicking the Submit button below.
4. Submit Completed Membership Form
Please click the submit button once to send your completed membership form. We look forward to welcoming you to the Nehar Shalom community.
We welcome you and look forward to building together! Please complete the membership form below and click submit.
* indicates a required question
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Number of adults included in membership:
Number of children included in membership:
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Adult 1 Name:
Child 1 Name:
 
Adult 2 Name:
Child 2 Name:
 
Adult 3 Name:
Child 3 Name:
 
Adult 4 Name:
Child 4 Name:
 
Child 5 Name:
 
Child 6 Name:
 
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Street Address
Address Line 2
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City
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State
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Zip Code
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Preferred phone (1)
Preferred phone (2)
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Email Address (1)
Email Address (2)
Is there any additional information that you would like to share for now?
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Amount of dues...$