2020 Membership Renewal Form - Form - Mount Sinai Jewish Center

MEMBERSHIP RENEWAL 2020

Welcome to Mount Sinai Jewish Center's Membership page. We are excited to have you back! If you are renewing your membership, please continue to the form below. If you are a new member, please go back and fill out a new membership form.

*No one will be turned away from membership for financial reasons. If you feel the categories below do not describe you, feel free to choose "other" and enter your own amount based on your comfort.

* Installment payment options, including monthly payment, are available from the drop-down menu on the payment page.
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Please select how many adults are in your household.

Please choose the option that best describes your household

Both Professionals - $990Both Students - $350One Professional and One Student - $670Both Seniors - $710Other*Early bird pricing will be applied at check out. Early bird is valid until 01/15/2020.

Please choose the option that best describes you

Professional - $495Full Time Student - $175Senior - $355Associate - $250*Other*Early bird pricing will be applied at check out. Early bird is valid until 01/15/2020.
* Associate Members are those who live out of the Washington Heights area and wish to also have membership at Mount Sinai. Associate membership does not come with voting rights.
*Student Membership is intended for full time students

Special Rate Membership

If you feel the above descriptions do not describe you, feel free to enter your own amount based on your comfort.

* First Name

* Last Name

* Title (Mr. Ms. Mrs. Dr. etc)

Gender

* Email

Date of birth

* Phone

We know we have your address, but in the event it has changed, please enter it below.

* Address

Apartment Number

* City

* State

* Zip

Second Member's Information
(if applicable)

Title (Mr. Ms. Mrs. Dr. etc)

First Name

Last Name

Date of birth

Phone Number

Additional Information

Children(s) Names and Date of birth

Total: