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5769 Membership Application
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Rabbinic ordinees who are not members-in-good-standing of the aforementioned organizations may apply for membership in the Massachusetts Board of Rabbis by submitting an application to the Membership Committee and Executive Board of the MBR. In order to be considered for membership, such applications must meet the following criteria:
NOTE: Those who have already been accepted into the MBR in the past need not re-apply, but we do ask that everyone complete the form (below). Please fill out this application completely and enclose a check for $100* payable to MBR. Please indicate if any information should not be included in the MBR Directory. Membership information received prior to December 31, 2006 will be included in the 2007 membership directory. Please circle one of the two choices: Renewal New Application
Name_____________________________ Date of Birth_____________________________ Spouse/Partner_____________________________ Anniversary_____________________________ Ordained (school/year)________________________________________/__________ National Rabbinic membership___________________________________________ Year that you began working at your current synagogue/institution_____________ Addresses:
Preferred mail address (circle one): Business Home Note: *All rabbis are invited to join the MBR at any level that is financially comfortable. Retired rabbis are not required to pay any dues to be listed as members, but are asked to send a donation of $36 to help defray costs. Please return this form, in any case, to indicate desire for membership. ____ Enclosed please find my MBR dues in the amount of $ , payable to MBR.
_____As a retired rabbi, I enclose a dues check for $36 payable to MBR.
Mail to: MBR � 1320 Centre Street, Suite 306 � Newton, MA 02459 ******************************************************************************************************** Personal/Professional Data: Name______________________________________
MBR Meeting/Program Information
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