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New Member Application

New Membership Application

Please click here to download a new member application.  Once you have filled out the application, please scan and email it to Emily Berton, or mail it to the Har Zion office:

Har Zion Temple
1500 Hagys Ford Road
Penn Valley, PA 19072

Questions?  Please contact Emily Berton by email or at 610-667-5000 x109.

Membership

Support Staff

Emily Berton

Assistant Executive Director

New Membership Form

Please take your time and fill out our membership form below to the best of your abilities.

Adult 1

(Mr., Mrs., Ms., Dr., Rabbi)

Adult 2

(Mr., Mrs., Ms., Dr., Rabbi)

More Information

How would you like mail addressed?

Address

Children (if Applicable)

Please list your children
Name
M/F
Hebrew Name
Birthdate
Bar/Bat Mitzvah Date
 

Yahreitz (if Applicable)

Please list the yahreitz of any deceased loved ones for whom you would like to receive a reminder mailing
Name of Deceased
Related to whom
Relationship
English Date of Death
Before or After Sunset