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MEMBERSHIP APPLICATION Family Surname______________________________________________________________________________ Address: __________________________________ City/State: _______________________ Zip: _____________ Phone: ____________________ Husband Wife Full Name: Cell Phone: Email Address: Full Membership is $600 per year. For 5773, it is $300. Full Membership includes all membership benefits including a makom kavuah in the Shul, seats for Yomim Noraim, and the ability to vote at membership meetings. I hereby make application for membership in Congregation Derech Emes of Wesley Hills and agree to pay annual membership dues, as established by the Board of Directors, and all other fees, and pledges as may be required, in a timely fashion. By signing below, I accept to make arrangement for payment of all Shul fees with the Treasurer as specified above. Signature __________________________________ Date ____________ Membership committee use only Review Date: Committee Decision: Signed: _____________________________________________________________________________________________ Yosef Haas ∙ President Menashe Gutman ∙ Vice President Yaakov Mattel ∙ Secretary Hillel Markowitz ∙ Treasurer Congregation Derech Emes of Wesley Hills 34 Wilder Rd. Monsey, NY 10952 contact@derechemes.org GABBAI FORM Name: __________________________________ Are you a: Kohain / Levi / Yisroel Date: ______________________________ Bar Mitzvah Parsha: _______________________________ Husband Wife Hebrew Name: Father's Hebrew Name: Mother's Hebrew Name: Children (full Hebrew names): M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ M / F ______________________________________ Full Hebrew name of guests/relative: Relationship: __________________________________ Name ______________________________________ Relationship: __________________________________ Name ______________________________________ Relationship: __________________________________ Name ______________________________________ Are you willing to: Daven for the Amud ____ Lain ____ Speak on Friday Night ____ Special Requests/Considerations:_________________________________________________________________ ________________________________________________________________________________________ _____________________________________________________________________________________________ Yosef Haas ∙ President Menashe Gutman ∙ Vice President Yaakov Mattel ∙ Secretary Hillel Markowitz ∙ Treasurer Congregation Derech Emes of Wesley Hills 34 Wilder Rd. Monsey, NY 10952 contact@derechemes.org PARKING There is limited parking available in the shul driveway. Please follow these guidelines when parking: • • • • • • • • Please try to walk to shul. Parking is limited and we urge you to use it only when necessary. If you do drive, the spots on the driveway are as follows: o Four spots in the gravel area on the left side. o Eight spots (2 stacked rows of 4) at the end of the driveway. There is no parking in the area marked "Turnaround" Keep in mind that the tenant upstairs is entitled to two spots so the actual number of spaces available is likely less. The spaces marked rked above are best case. Depending on how the people before you park, there may be less available. You may not back out onto Wilder Rd. Use the turnaround area so you can drive dri straight onto Wilder Rd. There is absolutely no parking allowed on Wilder Rd. If there are no spots available, you may park by Menashe Gutman - 6 Carter Ln. _____________________________________________________________________________________________ Yosef Haas ∙ President Menashe ashe Gutman ∙ Vice President Yaakov Mattel ∙ Secretary Hillel Markowitz ∙ Treasurer Congreg egation Derech Emes of Wesley Hills 34 Wilder Rd. Monsey, NY 10952 contact@derechemes.org Seating Request Form Name: ___________________________________________ Membership entitles you to two seats. If you need more, we will do what we can to accommodate you. Please write your top two choices: 1._____________ 2._____________ Amud 15 16 17 18 19 20 21 22 23 24 25 26 1 2 3 Bima 4 5 6 7 8 9 10 27 28 29 30 11 12 13 14 31 32 33 34 Seforim Shelves Mechitza Aron Not to scale _____________________________________________________________________________________________Yosef Haas ∙ President Menashe Gutman ∙ Vice President Yaakov Mattel ∙ Secretary Hillel Markowitz ∙ Treasurer Congregation Derech Emes of Wesley Hills 34 Wilder Rd. Monsey, NY 10952 contact@derechemes.org