The Village Shul Membership Form
Welcome to The Village Shul Membership.
In order to make our collection process more efficient and ensure our budget runs smoothly throughout the year, we would like to arrange for membership payments to be made via Direct Debit. We are happy to receive payments either monthly or quarterly.

We are of course happy to receive a transfer or cheque for your fees should you prefer to pay in this way.

The Village Shul

P.S If you are unable to pay these level of fees then please call me, no one is ever turned away from the Village Shul.

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 *
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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