September 11, 2015

Membership Form

Please fill in the membership form to join us:

New Membership Form

** Please note that your membership request will be review by the board. You will be contacted by a Congregation BINA official to confirm the acceptance of your membership request. You will be also requested to pay your dues at that time.

First Name (required)                    
Last Name (required)                    
Name of Spouse (if applicable)   

My spouse is JewishOther

Address (required)                  
City (required)                          
Province/State (required)      
Postal Code/Zipcode (required)  
Country (required)                   

Home Phone (required)          
Cell Phone                                 

Email Address (required)        

I give permission to official representatives of Congregation BINA to contact me as per CASL Guidelines. (required)

Children Details
Child's Name Child's Gender Date of Birth

Information about Applicants parents:

My mother is JewishOther

My father is JewishOther

Membership Type
Single Membership ($50 CAD/year)Family Membership ($100 CAD/year)

** The Congregation BINA financial year is from 1st August to 31st July every year. (New Jewish Immigrants to Canada do not pay have to pay membership dues only for the first year of their arrival in Canada)

Miscellaneous Information