Women of Beth El Membership Registration Form
Women of Beth El welcomes any Beth El member wishing to be included in a community of Jewish women. Women of Beth El is affiliated with the Women's League for Conservative Judaism.
Please only use this form if you are not currently a member of Women of Beth El.
If you are a current member and uncertain whether you owe dues, you can check the Finances tab in the
member portal
or email Ian Rothman, comptroller, at
irothman@bethelmc.org
to avoid paying your dues twice.
Registration Information
First Name
Last Name
Email:
Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Membership Information
Please select your membership category:
I am a current member of Beth El and want to join Women of Beth El
I am a new member of Beth El (joined after June 1, 2024) and wish to have a 1-year free membership
I am not a member of Beth El but wish to be a Women of Beth El member
Annual dues are $36.
If you joined Beth El within the last year, you are eligible for a one-year free membership.
Total:
$
Please select a payment method:
Please select...
Credit Card
ACH/eCheck
Electronic Check (ACH) Payment
Bank Routing Number
9 characters left.
Bank Account Number
Confirm Bank Account Number
Bank Account Type
Please select...
Checking
Savings
Bank Name
Account Holder Name
There is a 3% transaction fee for paying by credit card.
There is no fee for paying by eCheck.
I understand and agree to the 3% transaction fee.
3% Fee Information
Fee
$
New Total
$
Credit Card Payment
Credit Card Number
Verification Code
Card Expiration (Month)
Please select...
01
02
03
04
05
06
07
08
09
10
11
12
Card Expiration (Year)
Please select...
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Use a different billing address?
Please select...
Yes
No
Billing Street
Billing City
Billing State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Billing Zip Code
Please click the Submit button only once to avoid being charged multiple times.
The form can take up to 1-2 minutes to process.
Authnet_Hidden_Fields
Contact Information