New Member Application

2024 Membership

If you would like to pay by check, please print this PDF copy of the membership application BKB Membership Application 2024, and mail it, with your check, to:

Bet Knesset Bamidbar
Attn: Edith Einhorn
PO Box 33503
Las Vegas NV 89133

To pay by credit card, please complete the form below:

Membership Type(Required)

Member #1 Name(Required)

First Last

Member #2 Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Member #1 Email(Required)

Member #2 Email

Member #1 Birthdate

Member #2 Birthdate

Anniversary Date

Yahrzeit Information (We will notify you when names will be read at services)

Name

Relationship to Whom

Yahrzeit Date*

*Select which calendar English or Hebrew you want us to use for your Yahrzeits. If you can, give us actual date including year, either in Hebrew or English.

More Information

I/ We are very interested in participating in BKB activities in addition to attending services. Would you please provide me/us with more information?

Payment Information

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

Credit Card

Cardholder Name

Card Details

Billing Information

Billing Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

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PO Box 33503
Las Vegas NV 89133
702-389-6929
bkblvtemple@gmail.com

New Member Application

2024 Membership

Payment Information

Billing Information

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