Membership Option Although we welcome and serve our entire Hewlett community, regardless of membership, we invite you to consider registering as a "member"! Fill out our membership form to connect with our community and start enjoying the benefits of being part of our beautiful family! This optional registration allows you to: - Deepen your connection with our community - Show your support for our mission and programs - Receive updates and insights into our initiatives Be part of the most beautiful "family" in town! Of course, our programs and services remain open to everyone, regardless of membership status but registration allows you to take your involvement to the next level You can download the form by clicking here. If you filled out the form in the past and nothing has changed please let us know. FIRST ADULT HEAD OF HOUSEHOLD Have you filled out this form before?* Click Yes ONLY if your info has not changed. YesNo Full Name* Prefix First Name Last Name Hebrew Name First Name ben/bat Father's Hebrew name Birth Date* Month Day Year E-mail* I am...* Jewish From BirthConvertedNot Jewish Family CohenLeviYisroel Cell Number* Area Code Phone Number Work Number Area Code Phone Number Home Number Area Code Phone Number SECOND ADULT HEAD OF HOUSEHOLD Full Name Prefix First Name Last Name Hebrew Name First Name ben/bat Father's Hebrew name Birth Date Month Day Year E-mail I am... 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DayNightI don't know Observer * To whom is the Deceased related? Deceased's relationship to Observer* Full Name* First Name Last Name Hebrew Name First Name ben/bat Father's/Mother's Hebrew Name Date of Death* Month Day Year at 1 2 3 4 5 6 7 8 9 10 11 12 Hour 00 10 20 30 40 50 Minutes AM PM Time of Death was during the... DayNightI don't know Observer* To whom is the Deceased related? Deceased's relationship to Observer* Full Name* First Name Last Name Hebrew Name First Name ben/bat Father's/Mother's Hebrew Name Date of Death* Month Day Year at 1 2 3 4 5 6 7 8 9 10 11 12 Hour 00 10 20 30 40 50 Minutes AM PM Time of Death was during the... DayNightI don't know Observer* To whom is the Deceased related? Deceased's relationship to Observer* Full Name* First Name Last Name Hebrew Name First Name ben/bat Father's/Mother's Hebrew Name Date of Death* Month Day Year at 1 2 3 4 5 6 7 8 9 10 11 12 Hour 00 10 20 30 40 50 Minutes AM PM Time of Death was during the... DayNightI don't know Observer* To whom is the Deceased related? Deceased's relationship to Observer* Comments Please tell us anything else you'd like us to know Optional Donation No fees, just friendship! We don't charge for membership. Instead, we rely on donations to keep our community thriving. If you choose to make a monthly donation of any amount (suggested: $125 monthly) we'll proudly recognize your commitment on our monthly donor board. Membership Donation Options $5000$3600$2500$1800$540$360$180$120$108$75$54$36 Yes, I'd like to make this a monthly recurring payment. Payment Credit Card Paypal ACH, Check, Check or Zelle Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Paypal has been selected. 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