Sephardic Congregation Magen David of Beverly Hills
322 North Foothill Road, Beverly Hills, CA 90210
Phone: 310 274-0808 Fax: 310 274-0608

magendavidofbeverlyhills@gmail.com
hovadia@gmail.com
rabbilevy1@yahoo.com.com

APPLICATION FOR SYNAGOGUE HIGH HOLIDAY SEATS

FOR 5770-2009-2010

Family Name:__________________________________
Address_______________________________________
Phone:________________________________________
Fax:__________________________________________
E-mail:_______________________________________

HIGH HOLIDAY SEATS
SEATS FOR MEN
(PLEASE LIST THE NAMES)

__________________________________
__________________________________
__________________________________
__________________________________
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SEATS FOR WOMEN
(PLEASE LIST THE NAMES)

__________________________________
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Annual Membership Dues

Your annual dues support our Congregation, our extensive religious programs and the ever expanding schedule of classes
and learning opportunities for our wonderful Synagogue and
Community.

FAMILY DUES (INCLUDES TWO SEATS)    $1,200.00
EACH ADDITIONAL SEAT FOR CHILDREN   $ 150.00
INDIVIDUAL DUES (INCLUES ONE SEAT)    $ 600.00
NEW FAMILY DUES                                    $ 750.00
SHABBAT SPONSORSHIP FOR PARASHAT:
___________________________________$ 700.00
(WRITE NAME OF PARASHAH HERE)

TOTAL ENCLOSED WITH THIS FORM: $______________

PLEASE RESPOND IMMEDIATELY SO WE CAN ACCOMMODATE YOUR REQUESTS.

PLEASE MAKE YOUR CHECK PAYABLE TO:
“MAGEN DAVID OF BEVERLY HILLS.”

TO PAY BY CREDIT CARD, CLICK ON THE CREDIT CARD PAYMENT FORM APPEARING ON THE MENU ON THE LEFT SIDE OF THE WEBSITE.