Charlotte
Kehillat
MEMBERSHIP FORM
Name
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Yahrzeit Information
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Address/Phone/Email
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Members of Family
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Simchas (Anniversaries, Birthdays, etc.)
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please list any skills you possess (i.e. leyning Torah, davening, religious school instruction, etc.)
__________________________________________________________________________________________________________________________________________________________________________________________________________________
Annual Pledge
My annual pledge for the year 20____will consist of $___________.
This will be paid:
___ Annually
___ Quarterly
___ Monthly
Please fill out this form and email it to kehillat.charlotte.nc@gmail.com
All checks should be made payable to "Congregation Kehillat Charlotte" and mailed to:
Congregation Kehillat Charlotte
5940 Monroe Rd., Second Floor
Charlotte, NC 28212