MembershipPlease complete the form below and a member of our team will be in touch. First Name Last Name Email Address Phone Number Date of Birth Time of BirthIf known - This will help us determine your Jewish birthday Hebrew Name Mothers Hebrew Name Fathers Hebrew Name I am aCohenLeviYisroelNot Sure I am Jewish byBirthConversion Please email your conversion certificate to info@jewishdocklands.com Was your Mother or Grandmother convertedNoYes Whose auspices was the conversion done under? Are you married according to Jewish law?YesNoDivorcedWidowed Please email your ketubah to info@jewishdocklands.com Anniversary Date Spouse's Name Spouse's Hebrew Name Spouse's Date of Birth Spouse's Time of BirthIf known - this will help us determine their Jewish birthday Spouse's Mother's Hebrew Name Father's Hebrew Name Spouse is Jewish byIf conversion, please email the conversion certificate to info@jewishdocklands.comBirthConversion Was Their Mother or Grandmother ConvertedNoYes If yes, whose auspices was the conversion done under? Please list the name of any children you may have and their birthdates Are any of your children adoptedYesNo Yahrtzeit Information Please list the name of anyone who you observe a Yahrzeit (anniversary of passing) for, including how they are related to you and the date of their passing. Which Membership level would you like to join? * Annual payment is due on signup and then each year in January. *You can choose to join the burial scheme in addition to membership or irrespective of membership. From age 45 and above, there is a one-off joining fee to pay in order to join the scheme. This increments with age and is only paid upon entry to the scheme. Please contact us to view the sliding scale. Membership Level"Single without burial - £500""Family without burial - £900""Single with burial - £680""Family with burial - £1,080""Burial society only - £180" I would like to pay *AnuallyMonthly I would like to pay by: *CardBACSDirect DebitPaypal I declare that the aforesaid particulars given by me are correct. I understand that in the event of any question arising at any time in regard to my personal status in Jewish law, or that of my spouse or any of my children, and my eligibility to the WCF burial scheme, the decision of the Office of the Chief Rabbi shall be final. I also agree that Chabad of Greenwich and Docklands may use my information in accirdance with the privacy policy and copies of the documents I supply may be sent to the WCF for their records.
