The Village Shul Membership Form
We are delighted that you are becoming a member. As you know we are a charity and rely on membership, donations and contributions from the community to enable us to continue. Please complete our membership form below. If you have any questions, please email us on shulinhampstead@gmail.com. Thank you.
I would like to join the membership as: *
(please select the level of membership you would like to join at)
I will be sending my membership donation via *
Cheques should be made payable to The Hampstead Village Shul and be posted to: The Village Shul 10 Flask Walk London NW3 1HE. Bank Transfers should be made to: Name: The Hampstead Village Shul, Sort code: 40 01 06, Account: 2240 1843. - The Hampstead Village Shul (charity number 1124605)
Please send me a Gift Aid form *
Surname *
Your answer
Forename(s) *
Your answer
Hebrew name(s) *
Your answer
Are you a: *
Spouse of applicant (if joining) Forename(s)
Your answer
Surname *
Your answer
Hebrew name(s) *
Your answer
Are you a: *
Contact details: Address *
Your answer
Email address *
Your answer
Phone number(s) *
Your answer
IF SINGLE: Father's forename:
Your answer
Father's surname (if different)
Your answer
Mother's forename:
Your answer
Mother's maiden name:
Your answer
Date of parents' marriage:
Your answer
Full name of Synagogue and location:
City and Country
Your answer
Are your parents currently members of a Synagogue, if yes, please state which one
Your answer
IF MARRIED: Date of marriage:
dd/mm/yyyy
Your answer
Full name of Synagogue and location:
City and Country
Your answer
CHILDREN'S DETAILS: Forename(s)
Your answer
Surname
Your answer
Hebrew name(s)
Your answer
Date of birth(s)
Your answer
Do you have Yartzeit(s) you want us to remind you of?
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