Membership Registration

A note about membership fees

Everyone can become a Makom Member. We have endeavoured to make Membership fees affordable and broadly accessible while generating necessary operating funds for Makom. If paying the full fee up front presents difficulty, you may choose to pay in two installments (by cheque only). If paying for your Makom Membership would present a financial hardship, please contact Rabbi Aaron by email or phone (416-546-6043) in confidence to make alternate arrangements. No one will be turned away for lack of funds.

Shareholder types: $180 Adult Membership $108 Full-Time College/University/Grad Student Membership $54 Teen Membership – over bar/bat mitzvah through high school $36 Child Membership – age 2 up to bar/bat mitzvah $108 Friend of Makom – uninvolved in Makom but you want to support creative downtown Jewish life (does not include voting privileges or discounts) Memberships are tax deductable as a charitable contribution.

Number of memberships

* How many total people, including children, will you be purchasing Makom Memberships for?

Membership information

Member 1

* Membership type

* First Name

Middle name

* Last Name

* Birthday (DD-MM-YYYY)

* Gender

	Female
	Male
	Other

Hebrew name

Mother's Hebrew name

Father's Hebrew name

Are you a:

	Kohein
	Levi
	Yisrael

* Email

* Phone #1

* Street

* City

* Prov/State

* Postal/Zip

Country

Member 2

* Membership type

* First Name

Middle name

* Last Name

* Birthday (DD-MM-YYYY)

* Gender

	Female
	Male
	Other

Hebrew name

Mother's Hebrew name

Father's Hebrew name

Email

Member is a:

	Kohein
	Levi
	Yisrael

* Contact information is same as Member 1. If not, complete fields below.

yes

Phone #1

Street

City

Prov/State

Postal/Zip

Country

Membership 3

* Membership type

* First Name

Middle name

* Last Name

* Birthday (DD-MM-YYYY)

* Gender

	Female
	Male
	Other

Hebrew name

Mother's Hebrew name

Father's Hebrew name

Email

Member is a:

	Kohein
	Levi
	Yisrael

* Contact information is same as Member 1. If not, complete fields below.

yes

Phone #1

Street

City

Prov/State

Postal/Zip

Country

Membership 4

* Membership type

* First Name

Middle name

* Last Name

* Birthday (DD-MM-YYYY)

* Gender

	Female
	Male
	Other

Hebrew name

Mother's Hebrew name

Father's Hebrew name

Email

Member is a:

	Kohein
	Levi
	Yisrael

* Contact information is same as Member 1. If not, complete fields below.

yes

Phone #1

Street

City

Prov/State

Postal/Zip

Country

Membership 5

* Membership type

* First Name

Middle name

* Last Name

* Birthday (DD-MM-YYYY)

* Gender

	Female
	Male
	Other

Hebrew name

Mother's Hebrew name

Father's Hebrew name

Email

Member is a:

	Kohein
	Levi
	Yisrael

* Contact information is same as Member 1. If not, complete fields below.

yes

Phone #1

Street

City

Prov/State

Postal/Zip

Membership 6

Participation

* Community exists only if you’re really part of it. Your participation in Makom’s programs and services is important. Please write in your personal goals for participation:

Volunteering

* As a grassroots community, Makom relies on many volunteers to keep our operations and programming running. Please write in your personal goals for volunteering (approx. hours/month), along with any particular skills or interests you have (e.g., program planning – any specific areas?, children’s/families’ programming, bookkeeping/accounting, budgeting and finance, setup/cleanup, HR, legal, web design, marketing, prayer leading, etc.):

Number of membershi[s. -Please input "0" where none apply. Totals will be automatically calculated on the next page.

	quantity
Adult ($180)
Student ($108)
Teen ($54)
Child ($36)
Friend ($108)

Additional donations are always welcome and greatly appreciated.Amount of additional donation:

The full amount of your total membership/donation is tax deductible and will be receipted.

* How would you like to make your donation?

	credit card
	cheque

If you would like to include a message with your form, please write it here:

Making your payment

"Making your payment" now says "You will see an order summary on the next page. After you click "confirm order" you will be given instructions on how to make your payment. *Please jot down the total from the order summary, as you'll need it in order to make payment.