2014-15/5775 Board of Rabbis Membership Application

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To become a member of the Board of Rabbis of Greater Philadelphia, there are TWO STEPS WHICH MUST BE COMPLETED:
1. Fill out the form below.
2. Mail a check for your membership dues to: Board of Rabbis; 2100 Arch Street; Philadelphia, PA 19103.

(We hope to be able to accept on-line payments soon. For now, we appreciate your mailing a check.)

First Name *

Last Name *

Place of Employment *

Position/Title

Preferred Mailing Address - Street *

The following address will be used to send infrequent mailings and shared with other BOR members.

Preferred Mailing Address - City, State *

Preferred Mailing Address - Zip code *

The address listed above is my: *

Home address

Work address

Other:

Home Phone

Work/Daytime Phone *

Cell Phone

Preferred Email Address for BOR Business *

Additional Email Address (optional):

Are you willing to share your contact infomration with other BOR members? (select one:) *

YES, please publish my contact information in a way that can be accessed by BOR members.

NO, please DO NOT publish my contact information in a way that can be accessed by BOR members.

My rabbinic affiliation is: *

CCAR

RRA

RCA

Other:

Required

What do you most hope to get by becoming a member of the Board of Rabbis?

Please rate the importance of the following reasons for your joining the Board of Rabbis:

5 - Most Important

1 - Least Important

The opportunity for professional development

Feeling a part of the rabbinic community of greater Philadelphia

The opportunity to build my connection to the Philadelphia Federation

The opportunity to learn from outside teachers at BOR programs

The opportunity to connect with, learn from and support/be supported by colleagues

Clear selection

Please use this space to suggest any excellent speakers/teachers or topics on which you think the BOR could build a compelling event or program in the next few years.

Membership Dues

In order to complete your membership application, you must mail a check for the appropriate amount (see below) payable to the “Board of Rabbis” to:

Board of Rabbis of Greater Philadelphia, 2100 Arch Street, Philadelphia, PA 19103

Please do not let lack of funds deter you from joining! Contact Abby Weinberg to discuss dues adjustment at aweinberg@borphilly.com or 215.832.0675.

I will send a check for the following amount for my 5775 (2014-15) Board of Rabbis membership dues: *

$150 (Suggested dues for full-time employed colleagues.)

$75 (Suggested dues for part-time employed or retired colleagues.)

I will contact Abby Weinberg (aweinberg@borphilly.org) as soon as possible to discuss my dues amount.

Thank you very much for joining the Board of Rabbis! We very much look forward to seeing you soon!

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