Membership Application

We are delighted to welcome you to Meade Hill Shul. Please complete this application form and we will then contact you to confirm details of membership.

Membership Application Form

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
You Spouse's Name Please enter your Spouse's full name (if applicable)
Your Spouse's Hebrew Name Pleas enter your Spouse's Hebrew name as per the above (if applicable)
Your Spouse's Date of Birth If applicable
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Home Phone Number
Alternative Contact Number
Children's Names and Date of Birth
Please enter your children's details if applicable.
Membership Type *
Man's Shul MembershipMan's Shul and Burial MembershipWoman's Shul MembershipWoman's Shul and Burial MembershipFamily Shul MembershipFamily Shul and Burial Membership
Jewish Lineage

Gift Aid

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.

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Membership Application Form

Gift Aid

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Registered Charity Number 1159112