The Chatham Synagogue invites your membership!
An online application form (below) is provided and provides maximum accuracy and convenience. However, if you prefer, you can download a copy of the membership application below and mail it ito us.

Member App.pdf
Membership Application

Currently, dues are $500/year for a family membership and $325/year for an individual. Please enclose a check to "The Chatham Synagogue" with your application if mailing a copy or in an envelope with a note indicating that the application was submitted electronically and mail to: The Chatham Synagogue, Box 51, Chatham, NY 12037.

Please complete the form below and submit it to us by clicking the button below. Our membership Secretary will be in touch with you. Thank you for your support!

By submitting this form, you are confirming your application for membership in The Chatham Synagogue, and agree to abide by the Articles of Organization and By-Laws and certify that the information given in this application is true.

The Chatham Synagogue respects your privacy! This information will not be shared with any other individual or organization.


First member information:

Last Name 1:

First Name 1:

Sex:

Birthday 1 (mm/dd/yyy):

Occupation 1:

Hebrew Name 1 (if known):

Spouse information (if applicable):

Last Name 2:

First Name 2:

Sex:

Birthday 2 (mm/dd/yyy):

Occupation 2:

Hebrew Name 2 (if known):

Contact information:

Address (preferred mailing):

City:

State:

Zip:

Phone (local):

Phone (other):

Email (preferred):

Email (other):

Fax:

Other Address:

Tell us about your children, if applicable:

Child Name 1:

Child 1 Sex:

Child 1 Hebrew Name:

Child 1 Birthday (mm/dd/yyyy):

Child Name 2:

Child 2 Sex:

Child 2 Hebrew Name:

Child 2 Birthday (mm/dd/yyyy):

Child Name 3:

Child 3 Sex:

Child 3 Hebrew Name:

Child 3 Birthday (mm/dd/yyyy):

Areas of interest (check all that apply):

Ritual Committee

Membership Committee

Social Action Committee

Publicity Committee

Programming Committee

Contact us about Hebrew School!

Subscribe to the Weekly Update email!

Additional Info (if any):