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Membership Form 5777 (2016/17)

What is membership?

Click here to print the form.

Applicant's information:

First Name DOB Email
Spouse name DOB Email
Family name Home Phone
Home Address

Name DOB M F School
Name DOB M F School
Name DOB M F School

Membership options:

Membership grants two complimentary High Holiday seats.
I would like to become a Member at the:


JRCC Branch


High Holiday Location

JRCC of Ontario Rabbi Yoseph Y Zaltzman Any Location*
S Richmond Hill & Maple Rabbi Avrohom Zaltzman 50 Marc Santi Blvd



411 Confederation Pkwy #14

Thornhill Woods

Rabbi Chaim Hildeshaim

300 Pleasant Ridge Ave.

West Thornhill

Rabbi Levi Jacobson

525 New Westminster Dr

East Thornhill

Rabbi Mendel Zaltzman

7608 Yonge St. Unit 3

South Thornhill

Rabbi Levi Blau

1 Cordoba Dr.

18 Rockford

Rabbi Yisroel Karpilovsky

425 Patricia Ave.


As a:
Basic $1200 ($100 a month)
Gold $1800 ($150 a month)

Payment information:

Payment method: Bill me Credit card

Card # Exp. Month Year Amount

One Time Payment
Monthly: Beginning through

Click here to print a form and mail to: 5987 Bathurst St. Suite 3 Toronto, Ontario, M2R 1Z3

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