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.

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

Methods of sending:

Print and Send to: Print and Fax to:

Congregation Ohr Chaim
317 West 47th Street
Miami Beach, Fl  33140

 

 

305-672-7670

 

 

Member of 
          Congregation Ohr Chaim
          
          Yes or 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:  
( _ _ _ ) _ _ _ - _ _ _ _  ext.
Pager/Mob.:  
( _ _ _ ) _ _ _ - _ _ _ _ 
Fax:  
( _ _ _ ) _ _ _ - _ _ _ _ 

Wife's Employer:
Bus. Address:  
_____________________________
_____________________________
_____________________________
_____________________________
Bus. Phone:  
( _ _ _ ) _ _ _ - _ _ _ _  ext.
Pager/Mob.:  
( _ _ _ ) _ _ _ - _ _ _ _ 
Fax:  
( _ _ _ ) _ _ _ - _ _ _ _ 

 Wedding Anniversary:
_____ / _____ / ______

Children's Name/s (English & Hebrew), Age, Birthday, School:
_______________________________________________________
_______________________________________________________
_______________________________________________________

Yahrzeit:
Name:  
_____________________________
Hebrew:  
_____________________________
Relationship:  
_____________________________
Date:  
_____________________________
Hebrew:  
_____________________________

Name:  
_____________________________
Hebrew:  
_____________________________
Relationship:  
_____________________________
Date:  
_____________________________
Hebrew:  
_____________________________

 

Thank You!