Brotherhood Registration Form

Congregation B'nai Shalom Brotherhood Membership Application June 1, 2012 - May 31, 2013

If you are including your form and Brotherhood dues with your annual membership contribution, please include the full amount in your first membership contribution payment.

If you have paid your Brotherhood dues as part of your annual membership contribution, use this form to submit your information online.

Otherwise, please send a check for $36 payable to Congregation B'nai Shalom Brotherhood to
Brotherhood, 117 E Main Street, PO Box 1019, Westborough MA 01581.

Name:
Street Address:
City: State: ZIP:
Home Phone:     Other Phone:
Email Address:

Preferred method of contact:

Home Phone
Other Phone
Email

I can attend programs on:

Sunday mornings
Sunday evenings
Weekday evenings

I would be interested in helping Brotherhood with:

Event Planning - support and assist in coordination and planning of events
Membership - recruit and welcome new members, maintain active membership list
Religious/Jewish Life - help to coordinate religious/spiritual events.
Fundraising and Special Projects - plan and coordinate as needed
Other

If you selected 'Other' above, please specify: