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Membership
Click here
to download the application form
Join the Marais Road Family
Membership
Step
1
of
5
- Your Details
20%
Year 5778 January to December 2018
Application for:
*
Family
Single
Family Associate
Single Associate
Husband's Details
Title
*
Mr
Mrs
Miss
Dr
Prof
Rabbi
Rev
Surname
*
First Names
*
Nickname
Tel. Home
Tel. Work
Tel. Cell
*
Photo
Max. file size: 16 MB.
Identification number
Email
*
Occupation
Date of birth
*
MM slash DD slash YYYY
Marrital status
Married
Divorced
Single
Bar Mitzvah date
MM slash DD slash YYYY
Bar Mitzvah portion
I Don't Know
Bereishit
Noach
Lekh Lekha
Vayeira
Chayei Sarah
Toldot
Vayeitzei
Vayishlach
Vayyeshev
Miqeitz
Vayigash
Vayechi
Shemot
Va'eira
Bo
Beshalach (Shabbat Shirah)
Yitro
Mishpatim
Terumah
Tetzaveh
Ki Tisa
Vayaqhel
Pequdei
Vayiqra
Tzav
Shemini
Tazria
Metzora
Acharei Mot
Qedoshim
Emor
Behar
Bechuqotai
Bamidbar
Nasso
Beha'alotkha
Shelach
Qorach
Chuqat
Balaq
Pinchas
Mattot
Masei
Devarim
Va'etchanan
Eiqev
Re'eh
Shoftim
Ki Teitzei
Ki Tavo
Nitzavim
Vayeilekh
Ha'azinu
Vezot Haberakhah
Wife's Details
Title
*
Mrs
Miss
Dr
Prof
Rev
Surname
First name
Nickname
Date of birth
*
MM slash DD slash YYYY
Maiden name
Tel. Home
Tel. Work
Tel. Cell
Photo
Max. file size: 16 MB.
Identification number
Email
Occupation
Residential address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
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British Indian Ocean Territory
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Bulgaria
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Burundi
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Cameroon
Canada
Cape Verde
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Chad
Chile
China
Christmas Island
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Congo, Republic of the
Cook Islands
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Croatia
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Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
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Egypt
El Salvador
Equatorial Guinea
Eritrea
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Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
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France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Guinea-Bissau
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Indonesia
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Kenya
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Latvia
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Liberia
Libya
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Lithuania
Luxembourg
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Macedonia
Madagascar
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Synagogue where married
Date of marriage
MM slash DD slash YYYY
Should you not have a Ketubah, proof of your Jewishness is required.
Max. file size: 16 MB.
Congregation of which previously a member
For Associate Membership, presently a member of
In accordance with the ruling of the Union of Orthodox Synagogues, a member joining a congregation must be in good standing with his/her previous congregation before membership status of a new congregation is granted.
All Hebrew names of
Husband
Tribe
Cohen
Levi
Israel
Husband father
Tribe
Cohen
Levi
Israel
Husband mother
Tribe
Cohen
Levi
Israel
Wife
Tribe
Cohen
Levi
Israel
Wife father
Tribe
Cohen
Levi
Israel
Wife mother
Tribe
Cohen
Levi
Israel
Yahrzeit
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Relationship to deceased
Hebrew name
Father’s Hebrew name
English Date
MM slash DD slash YYYY
Hebrew Date
Please note Aliyot are granted for Yahrtzeit of a parent or child
Particulars of Children
Name (English)
Name (Hebrew)
Unknown
Date of birth
MM slash DD slash YYYY
Contact no
Current school (if applicable)
Grade
Year
MM slash DD slash YYYY
Spouse
Email
Photo
Max. file size: 16 MB.
Name (English)
Name (Hebrew)
Unknown
Date of birth
MM slash DD slash YYYY
Contact no.
Current school (if applicable)
Grade
Year
MM slash DD slash YYYY
Spouse
Email
Photo
Max. file size: 16 MB.
Name (English)
Name (Hebrew)
Unknown
Date of birth
MM slash DD slash YYYY
Contact no.
Current school (if applicable)
Grade
Year
MM slash DD slash YYYY
Spouse
Email
Photo
Max. file size: 16 MB.
Name (English)
Name (Hebrew)
Unknown
Date of birth
MM slash DD slash YYYY
Contact no.
Current school (if applicable)
Grade
Year
MM slash DD slash YYYY
Spouse
Email
Photo
Max. file size: 16 MB.
Seating requirements - High Holidays
Number of seats required - Ladies
Number of seats required - Men's
Special Seating request:
Please note: We will endeavour to fulfill your request but there is no guarantee.
Who would you like to sit next to?
Please select which membership category you are applying for*
Single: R4,379.00
Single Associate: R1,764.00
Family: R7,042.00
Family Associate: R2,772.00
Special Congregant: Subject to remissions committee and submission of remission forms.
* Please note these prices exclude High Holiday Seat Rental
Please note an additional levy will be charged for seating on the high holidays.
For financial assistance, please contact leoturvey@gmail.com.
The above costs are for membership fees only and exclude seat rentals, donations, etc.
Method of payment
Cash
Cheque
Debit Card
Debit Order
Credit Card
Groups you wish to join*
Seniors Committee
Ladies Guild
Sub-Committee
Security
Other
Δ
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Religious Leaders
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