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Your Full Name *Please enter your full English name.
Your Hebrew Name *Please enter as follows: Your name - Your Fathers name, Your Mothers name
Your Date of Birth
Your Yartzheit Details
You Spouse's Name Please enter your Spouse's full name (if applicable)
Your Spouse's Hebrew Name Please enter your Spouse's Hebrew name as per the above (if applicable)
Your Spouse's Date of Birth If applicable
Your Spouse's Yartzheit Details
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Home Phone Number
Alternative Contact Number
Place of Marriage Shul and Town of marriage. Please also forward a copy of your Ketubah (a photograph is sufficient)
Date of Marriage
Children's Names and Date of Birth
Please enter your children's details if applicable.
Membership Type *
Please tick all that apply. Prices shown are per year.Shul - Single person @ £132.00Shul - plus Spouse @ £60.00Shul - plus Children @ £48.00Burial - Single person @ £110.40Burial - plus spouse @ £56.40
Jewish Lineage

Please make every pound you give worth an extra 25% more to Meade Hill Shul by selecting the relevant option below: *
* You must pay an amount of Income and/or Capital Gains Tax for each year (6th April one year to 5th April the next) that is at least equal to the tax that Meade Hill Shul will reclaim on your donations for that tax year. Notes: 1. You can cancel this declaration at any time by notifying us. 2. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return. 3. If in future your circumstances change and you no longer pay UK tax on your income and/or UK capital gains equal to the tax Meade Hill Shul reclaims, you can cancel your declaration. See Note 1. 4. Please notify us of any change in your name and address.I am a UK taxpayer. Please treat all donations I make or have made to Meade Hill Shul for the past four years and all future gifts of money that I make from the date of this declaration as Gift Aid donations.I do not pay income tax.I do not wish to Gift Aid my donations for personal reasons.