New Member Registration

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First Name *

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Last Name *

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Address *

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Phone Number *

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E-mail Address *

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Membership *

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$25 annual fee / 6 books

$35 annual fee / 10 books

$45 annual fee / 15 books

$5 monthly fee

If you selected the monthly fee, please tell us how many months and the start date:

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Number of children associated with this membership *

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Please list their names and birthdates *

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I read and agree to the Terms of Membership
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This form was created inside of Sonnenwirth Jewish Family Library.