Membership

MEMBERSHIP

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MEMBERSHIP FORM Women, Click here to join Neshei!

* Family Name

* Home Address

* Home Phone

Cell Phone

* Email

Wedding Anniversary

Male Head of Household

Female head of Household

Title

Mr.RabbiDr.

Title

Mrs.Ms.Dr.

Male English Name

Female English Name

Male Hebrew Name

Female Hebrew Name

Male Date of Birth

Female Date of Birth

Male's Father is a:

Female's Father is a:

Marital Status

MEMBERSHIP DUES CATEGORIES

Family Membership

Single/Divoced/Widowed

Chai Club, Pillar and Partners have full Membership rights.
Membership Dues include National Council & Neshei charges

Any checks should be made payable to YIWB and sent to
Young Israel of Wavecrest & Bayswater
2715 Healy Ave.
Far Rockaway, NY 11691

Payment plans are available:
You will not be considered a member until payment is made or a payment plan has been worked out.

Once you've completed this form, you can add any family Yahrtzeits by clicking on "My Yahrtzeits" on the left side of the YIWB.org Home Screen.

Sun, November 2 2025 11 Cheshvan 5786

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Membership

We must be doing something right. Pay us a visit and you'll see happy faces of ALL backgrounds.

We must be doing something right.

Pay us a visit and you'll see happy faces of ALL backgrounds.