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Membership Application

THE CHATHAM SYNAGOGUE MEMBERSHIP APPLICATION

Please complete the form below and mail in a check for the membership dues. Please note in the memo line of the check that is is for initial membership dues. You will be contacted by our membership committee soon after the application and check are received. No application will be presented to the Board until the check is received. The check will be held until the Board approves membership.
 * indicates required fields.


Check mailed to:
The Chatham Synagogue
PO Box 51
Chatham, NY 12037


FAMILY INFORMATION:
*Required
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CO-APPLICANT (If applicable, Only for family memberships)

CHILDREN LIVING WITH YOU (under the age of 21)

ADDRESS
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SYNAGOGUE VOLUNTEER COMMITTEES
Our Committees are volunteer led and run. Committee descriptions can be found on our website at: www.thechathamsynagogue.org/committees. Check a box below if you're interested in volunteering or learning more about a committee's activities.
Applicant Volunteer Interests 
Co-Applicant Volunteer Interests (If applicable, Only for family memberships)

AGREEMENT
Thank you for your interest in becoming a member!

The undersigned hereby applies for membership in The Chatham Synagogue/Netivot Torah, and certifies that the information given is true. You will be contacted by our membership committee once the application is received. 

Membership Annual Dues: 
$800 for families
$475 for individuals


After application is submitted, check must received prior to Board approval of membership. If a membership is applied for between the months of September-December, the dues will applied to the following year membership fees.


Financial accommodations can be arranged on an as-needed basis; please send an email to tcsntmembers@gmail.org for more information.

Mail Check to:
The Chatham Synagogue
PO Box 51
Chatham, NY 12037 
*Required

*Required
*Required
Tue, May 6 2025 8 Iyyar 5785