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Romemu New Membership Form 2020-2021
We warmly welcome you to Romemu, a Global Center for Elevated Jewish Life.
We can't wait to get to know you over the next days, months and years.
Romemu is a community, a spiritual home, and an approach to Judaism that bridges the heart and the mind.
Come on in, and tell us about yourself!
Thank you for choosing Romemu as your spiritual home.
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Romemu Brooklyn High Holiday Tickets are now available! Please purchase them using
this form.
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A note on Membership Rates and COVID-19
We are grateful that you're here, and that you're choosing to support Romemu with your presence and your financial contribution. Your membership dues and trust are critical ingredients in this community. In this time of COVID-19, we appreciate your support more than ever before. 100% of membership dues go towards paying for Romemu's clergy, music, staff, teachers, and space. Every dollar helps us. Your generosity goes a long way at Romemu.
*
Please share with us, how did you find out about Romemu?
Please Choose One
Online Class
Facebook
Instagram
Twitter
Rabbi
Friend
Family Member
Other
What is their name?
Other:
*
Before joining Romemu, have you ever been an adult member of another shul before?
Please Choose One
Yes, I've been a member before
No, this is my first time joining a shul
Other
Other:
*
Why have you chosen to join the Romemu community?
Household Information
*
First Name
*
Last Name
*
Cell Phone or Best Phone
*
Email
Do you live outside the United States?
Please Choose One
Yes
No (I live in the US)
*
Full Mailing Address (Including Apt / Unit #):
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Non-US State
*
Country
*
Zip Code
*
Professional Field
Please Choose One
Accounting
Alternative Medicine
Animation
Architecture
Arts
Banking/Mortgage
Biotechnology
Building Materials
Business Supplies/Equipment
Capital Markets/Hedge Fund/Private Equity
Civic/Social Organization
Civil Engineering
Commercial Real Estate
Computer Games
Computer Hardware
Computer Software/Engineering
Construction
Consumer Services
Cosmetics
Design
E-Learning
Education (Higher Ed)
Education (Primary/Secondary)
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Service
Farming
Fashion
Film
Financial Services
Fine Art
Food Production
Food/Beverages
Fundraising
Furniture
Government
Graphic Design/Web Design
Health/Fitness
Higher Education/Academia
Hospital Care/Health Care
Hospitality
Human Resources/HR
Import/Export
Individual/Family Services
Information Services
Information Technology/IT
Insurance
International Affairs
International Trade/Development
Investment Banking/Venture
Journalism
Judiciary
Law Enforcement
Law Practice/Law Firms
Legal Services
Leisure/Travel
Library
Luxury Goods/Jewelry
Management Consulting
Market Research
Marketing/Advertising/Sales
Mechanical or Industrial Engineering
Media
Media Production
Medical Equipment
Medical Practice
Mental Health Care
Military Industry
Museums/Institutions
Music
Nanotechnology
Non-Profit
Oil/Energy/Solar/GreenTech
Online Publishing
Other
Packaging/Containers
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Political Organization
Primary/Secondary Education
Printing
Professional Training
Program Development
Public Relations/PR
Public Safety
Publishing
Real Estate/Mortgage
Recreational Services/Facilities
Religious Institutions
Renewables/Environment
Research Industry
Restaurants
Retail Industry
Retired
Security/Investigations
Sports
Staffing/Recruiting
Student
Telecommunications
Textiles
Think Tanks
Translation/Localization
Transportation
Venture Capital/VC
Warehousing
Writing/Editing
Employer (if self, please include the name of your business).
Job Title
My employer participates in a matching gift program
My employer participates in a matching gift program
Instagram Handle
Facebook Profile
LinkedIn Profile
Twitter Handle
Snapchat Handle
*
Is there another adult in your household?
Please Choose One
No
Yes
*
Before joining Romemu, have you ever been a member of another shul before?
Please Choose One
Yes, I've been a member before
No, this is my first time joining a shul
Other
Other:
*
First Name
*
Last Name
*
Primary Email
*
Cell Phone or Best Phone
*
Do you live at the same address as the adult listed above?
Please Choose One
Yes
No
Do you live outside the United States?
Please Choose One
Yes
No (I live in the US)
*
Full Mailing Address (Including Apt / Unit #):
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Non-US State
*
Country
*
Zip Code
*
Professional Field
Please Choose One
Accounting
Alternative Medicine
Animation
Architecture
Arts
Banking/Mortgage
Biotechnology
Building Materials
Business Supplies/Equipment
Capital Markets/Hedge Fund/Private Equity
Civic/Social Organization
Civil Engineering
Commercial Real Estate
Computer Games
Computer Hardware
Computer Software/Engineering
Construction
Consumer Services
Cosmetics
Design
E-Learning
Education (Primary/Secondary)
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Fashion
Film
Financial Services
Fine Art
Food Production
Food/Beverages
Fundraising
Furniture
Government
Graphic Design/Web Design
Health/Fitness
Higher Education/Academia
Hospital/Health Care
Hospitality
Human Resources/HR
Import/Export
Individual/Family Services
Information Services
Information Technology/IT
Insurance
International Affairs
International Trade/Development
Investment Bank/Venture
Journalism
Judiciary
Law Enforcement
Law Practice/Law Firms
Legal Services
Leisure/Travel
Library
Luxury Goods
Jewelry Management Consulting
Market Research
Marketing/Advertising/Sales
Mechanical or Industrial Engineering
Media
Media Production
Medical Equipment
Medical Practice
Mental Health Care
Military Industry
Museums/Institutions
Music
Nanotechnology
Non-Profit
Oil/Energy/Solar/GreenTech
Online Publishing
Other
Packaging/Containers
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Political Organizations
Printing
Professional Training
Program Development
Public Relations/PR
Public Safety
Publishing
Real Estate/Mortgage
Recreational Services/Facilities
Religious Institutions
Renewables/Environment
Research/Industry
Restaurants
Retail Industry
Retired
Securities/Investigations
Sports
Staffing/Recruiting
Student
Telecommunications
Textiles
Think Tanks
Translation/Localization
Transportation
Venture Capital/VC
Warehousing
Writing/Editing
Employer (if self, please include the name of your business)
Job Title
My employer participates in a matching gift program
My employer participates in a matching gift program
Instagram Handle
Facebook Profile
LinkedIn Profile
Twitter Handle
Snapchat Handle
*
Do you have any children in your family?
Please Choose One
Yes
No
*
How many children do you have?
Please Choose One
1
2
3
4
Membership Fees and Payment
*
Do you live close enough to Romemu Manhattan or Romemu Brooklyn to reasonably attend in-person?
Please Choose One
Yes, I live close enough to Romemu Manhattan to attend in-person
Yes, I live close enough to Romemu Brooklyn to attend in-person
I don't live close enough to either location to attend
Here are the detailed benefits for each membership type:
These are the Romemu membership options available to you:
Here are the detailed benefits for each membership type:
These are the Romemu membership options available to you:
To learn more about being a Chai Contributor, please
click here
.
*
Are you a young professional, between the ages of 22 and 35?
Please Choose One
Yes
No
IF YOU CHOSE YOUNG PROFESSIONAL MEMBERSHIP
We're so excited that you have chosen Romemu!
We welcome you as a member, and we're excited to get to know you. Special memberships are for first-time Romemu members age 22-35 (proof of age required). Renewing members who join Romemu at these rates will pay for membership in incremental increases for the first two years of membership, or until age 35.
*
I confirm I require a reduced membership fee
Please Choose One
Yes
No
If your financial situation enables you to pay for a full membership, we appreciate you doing so.
These special memberships are for Romemu members age 22-35 whose financial situation does not enable them to pay for a full membership.
Please confirm that at least one member of your household fulfills this criteria.
*
Please select the membership category that best describes what you're looking to sign up for:
Please Select One
Chai Contributor
Sustainer
Family
First Time Family Year 1
First Time Family Year 2
Couple
Individual
Friend
Student
Young Professional Individual (Year 1)
Young Professional Individual (Year 2)
Young Professional Couple (Year 1)
Young Professional Couple (Year 2)
Ez'rah (With Help) Membership
*
Please select the digital membership category that best describes what you're looking to sign up for:
Please Choose One
Global Membership
Digital Family
Digital Supporter
Digital Ez'rah
The
Ez'rah
(With Help)
Membership
is for you if you have suffered a recent job loss or serious financial hardship that has you unable to pay for our traditional membership packages, or if you are not able to afford our traditional membership packages for any other reason.
In this membership category, members pay what they can. We suggest that this contribution be at least 1.5% of your pre-tax income.
Romemu turns nobody away due to economic circumstances. We welcome you as you are, and look forward to having you in our community.
*
If you selected our Ez'rah (With Help) Membership, please enter the amount you will pay here:
*
If you chose a special membership for first-time Romemu members age 22-35, please upload a clear picture of a driver's license or other identification that contains date of birth
*
If you are a young professional couple age 22-35, please upload a clear picture of a second driver's license or other identification that contains date of birth
Standards of Behavior
In joining Romemu as a member, I/we agree to uphold the physical, emotional, and spiritual safety of all members of the Romemu community at all Romemu functions and events.
As a Romemu member, I/we agree to act in ways that respect the sacred communal space where Romemu and other religious communities gather and pray.
In the event that I violate these Standards of Behavior, I acknowledge that the Romemu Ethics Committee reserves the right to bar me from participating in Romemu's services, programs, and community.
By becoming a member of Romemu I agree to abide by any determinations made by the ethics committee and further agree to waive and release any and all claims against Romemu clergy, staff, board members and members of the ethics committee with respect to any such committee review and determinations.
*
By checking the box below, I/we agree to uphold the Romemu community standards of behavior
By checking the box below, I/we agree to uphold the Romemu community standards of behavior
Additional donation:
COVID-19 has impacted all of us in different ways. Please consider donating to subsidize memberships for those in need.
How would you like to pay?
Credit Card
e-Check
Total
Payment options will appear on the next page
Mon, January 25 2021 12 Shevat 5781