Previous Young Adult Members (YAMs)

We welcome our previous Young Adult Members (over the age of 25) to join Park as a member in their own right. Membership includes a High Holiday ticket (whether in Cleveland or wherever you may be living) and all other benefits of membership. This membership will run through June 30, 2022.

Please fill out the form below with your current information:

* Name

* Street Address

* City

* State

* Zip Code

* Phone

* Email

* Annual Associate Membership Dues for Previous YAMs

	Age 25 or 26	$25.00
	Age 27, 28 or 29	$50.00

Comments

Optional Security Fee ($55) $

If you would like to provide an additional donation towards synagogue security, please enter the amount here. Thank you!

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Previous Young Adult Members (YAMs)

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Previous Young Adult Members (YAMs)

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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