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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
[email protected]
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
[email protected]
PARKING
There is limited parking available in the shul driveway. Please follow these guidelines when
parking:
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•
•
•
•
•
•
•
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
[email protected]
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
[email protected]