We are currently updating our Shul records.
If you would like to become a member or if you are
currently a member and would like to update your
information, please take a moment and fill out
the information below.

By clicking submit, it will automatically
attach this form to an e-mail being sent to
ohrchaim@aol.com. In order to complete the sending
process, you must check your e-mail and click send mail.

As a reminder, this form will only be sent using Outlook!
If you do not use Outlook for your primary e-mail, please use the
printable form! Thank you!

*** For more information, please contact Jennifer Saka (Administrative Director)
at the Shul office: 305-674-1326.***

Member of Congregation Ohr Chaim	Yes No
Annual Membership:	Family -- $600.00
	(Educator/Rabbi --$300.00)
	Singles --$300.00

Husband's name:	Mr. Dr.
	D.O.B.
	Hebrew Name:
Wife's name:	Mrs. Dr.
	D.O.B.
	Hebrew Name:
Home Address:
Home Phone:
Fax:
Husband's Employer:
Bus. Address:
Bus. Phone:
Pager/Mob.:
Fax:
Wife's Employer:
Bus. Address:
Bus. Phone:
Pager/Mob.:
Fax:
Wedding Anniversary:
Children's Name/s (English & Hebrew), Age, Birthday, School:
Yahrzeit:
Name:
Hebrew:
Relationship:
Date:
Hebrew:
Yahrzeit:
Name:
Hebrew:
Relationship:
Date:
Hebrew:
Yahrzeit:
Name:
Hebrew:
Relationship:
Date:
Hebrew:
Yahrzeit:
Name:
Hebrew:
Relationship:
Date:
Hebrew:
Yahrzeit:
Name:
Hebrew:
Relationship:
Date:
Hebrew:

Thank You!