FAMILY MEMBER #1
FAMILY MEMBER #2
ADDITIONAL FAMILY MEMBERS
In the boxes below, please indicate children under age 21 and any other family members living at home with you. Please include the date of birth (m/d/yr).
Annual membership is 1% of family income, but not less than $300 for a single or $400 for a family. In addition, our synagogue needs help to run our normal programs and to help subsidize people to come to services who can't afford to do so. Any additional amount you can contribute is greatly appreciated.
If you'd prefer to pay by check, make it to Beyt Tikkun, send it to Leila @ Tikkun, 2342 Shattuck Ave, #1200, Berkeley, Ca. 94704, with a list of which services you will be attending and the names and emails of any of your guests and the services which they will be attending. Or call her between 9 and 5 p.m. Monday-Friday at 510-644-1200 to do credit card over the phone.