Keys Jewish Community Center located in Tavernier, FL, 33070
Please note: If you have any questions: Please call: 305-852-5235
Keys Jewish Community Center ( KJCC )
Membership Application Form
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Mailing Address:
P.O Box 1332
Tavernier, FL 33070-1332
Note: Please send us your check to complete this application to the above address.
Name
*
Enter your full Name(s)
Name
Enter your full name(s) of primary and secondary applicant.
Address 1
*
Address 2
City
*
State
*
Zip Code
*
Zip Code
Country
Country
Phone
*
Home Phone Number (please specify preferred contact number below)
Mobile Phone
Mobile Phone Number
Email
*
Please list Main Email address.
Email (alternate)
Please list Alt. email address
Type of Membership:
*
Family Membership - $325
Single Membership - $200
Optional: Children Education Classes - $170 with Family / Single Membership
Bar / Bat Mitzvah preparation / classes - call us for more information.
*** Please select the type of membership you are interested in. Note: Family membership also includes parents with Students in College / Military.
Planned Join Date:
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DD
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Date / Time to Contact you
MM
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DD
/
YYYY
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:
MM
AM
PM
AM/PM
A good Date / Time to Contact you
Are you Jewish?
*
Yes?
No?
Are you (select one)
Levi
Cohen
Israel
Other
Special Instructions
our Website
http://www.keysjewishcenter.com
Preferred method to contact you
*
Email?
Home Phone ?
Mobile Phone?
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