Update Your Membership Information

If you would like to make a one time online membership donation, or set up a recurring donation by credit/debit card or bank transfer, please click here: CHS Membership Donation

Adult 1

Name

Date of Birth (mm/dd/yyyy)

Pronouns (he/she/they/etc.)

This address will receive a confirmation email

Best Phone Number

Second Phone Number

Address

Marital Status

Occupation

What draws you to Congregation Har Shalom

Adult 2

Name

Date of Birth (mm/dd/yyyy)

Pronouns (he/she/they/etc.)

Best Phone Number

Second Phone Number

Occupation

Family Information

Children & Adult Children (please include names, gender and DOB:

Please list Congregants you are related to:

Yahrtzeits - we will remember the anniversary of the death of any of your family members if you include Name, Relationship and Date of Death

Anything else you'd like Har Shalom to know about you and/or your family?

Description

If any of your personal information has changed, please fill out the fields that need to be updated.

Update Your Membership Information

Description

Please Fix the Following