JPC-LREDA Annual Enrollment 2024-2025
Please complete this form annually by October 1 in order to review meeting and member rosters. Note that you must also be a member of LREDA Continental to join JPC-LREDA. Please complete this form if you are in the process of applying to LREDA Continental or have already paid your LREDA Continental Dues.

IF YOU WISH TO APPLY FOR A DUES WAIVER or REDUCTION, please fill out this form in addition
https://form.jotform.com/211656035775156 
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Email *
First Name *
Last Name *
Which cluster are you applying to? *
Congregation Name and City, State *
Your role in the Congregation
Preferred Mailing Address, include city, state and full zip- code *
Preferred E-mail Address for Communication *
May we publish this information for our JPC-LREDA members? *
Preferred phone number to contact you   xxx-xxx-xxxx *
Alternate Phone   xxx-xxx-xxxx
Dues *
Donations: Please note the amount you are donating to our scholarship fund and add to the total of your check. Thank you!
What is the total amount (Dues + Donations if applicable)? Be sure your check is Payable to JPCLREDA.  A Paypal option is also available. *
When will you send your payment? *
Please send your check to: Andrea Lerner, JPC-LREDA Administrator, 1507 Windmill Ln, Breinigsville PA 18031 OR send via PayPal - https://tinyurl.com/JPCLREDAPayPal 
A copy of your responses will be emailed to the address you provided.
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