2022-2023 Member Form

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Welcome,

Thank you for updating your information. If you have questions about our community and how to join, please contact our Executive Director, Jeff Margolis, at office@shaaretorah.net.

* Adult 1 - First Name

Required

* Adult 1 - Last Name

Required

Adult 1 - Hebrew First Name

Adult 1 - Hebrew Father Name

Adult 1 - Birthday

Adult 1 - Home Phone

* Adult 1 - Cell Phone

Required

* Adult 1 - Email

Required

* Adult 1 - Home Address

Required

* Adult 1 - City

Required

* Adult 1 - State

Required

* Adult 1 - Zip Code

Required

IF APPLICABLE

Adult 2 - First Name

Adult 2 - Last Name

Adult 2 - Hebrew First Name

Adult 2 - Hebrew Father Name

Adult 2 - Birthday

Adult 2 - Cell Phone

Adult 2 - Email

Adult 2 - Anniversary Date if applicable

* PLEASE NOTE Names of Adult family members (Not Children), the family home address, phone numbers, and e-mail addresses on this form will be included in the Shaare Torah Membership Directory unless you request otherwise.

Items to Omit from the Membership Directory:

No Children will be in the Membership Directory. Only for account information.

* How many children live at home?

* Child 1 - First Name

Child 1 - Last Name

Child 1 - Hebrew Name

Child 1 - Date of Birth

* Child 2 - First Name

Child 2 - Last Name

Child 2 - Hebrew Name

Child 2 - Date of Birth

* Child 3 - First Name

* Child 3 - Last Name

Child 3 - Hebrew Name

Child 3 - Date of Birth

* Child 4 - First Name

Child 4 - Last Name

Child 4 - Hebrew Name

Child 1- Date of Birth

* Child 5 - First Name

Child 5 - Last Name

Child 5 - Hebrew Name

Child 5 - Date of Birth

When indicating a Hebrew name, please use transliteration. It is only necessary to give the civil date of death; our software will automatically generate the Hebrew date. If you know that the death occurred after sunset, please mark the appropriate box.

* How many Yahrzeits would you like to add?

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

English Name

Hebrew Name

Remembered by

Relationship of the deceased to you

Civil date of death

After Sunset

Hebrew date of death

After Sunset

Thu, May 8 2025 10 Iyyar 5785

Shaare Torah

2319 murray ave. Pittsburgh, P.A. 15217

(412) 421- 8855

office@shaaretorah.net

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