Online Membership Form -- Part II

Custom Membership Level

Please indicate the amount you intend to give for membership*: .   If you wish to add $36 to help sponsor the breakfast teachings please add it to the amount and check the box. You will be asked to enter this total again during checkout.

Referring to the list below, please put the number of each gift you wish to receive in the box according to the next lowest dollar amount level. (For example, if you give $150, you may choose two gifts, according to the Rebecca Level.) When you're done, click on the button marked "Proceed to Payment" to proceed to the payment page:
When you join our community at various levels, you will receive these gifts:

Miriam Level -- $48: Thanks for helping to sustain our monthly services
Rachel & Leah Level -- $96: Choose one gift from the below list
Rebecca Level -- $136: Choose two gifts, the same or different
Sarah Level -- $360: Take one of each, or any combination of three gifts

A book chosen by Rabbi August
A custom Lev Eisha heart keychain
The Lev Eisha CD: Shabbat Songs from a Woman's Heart
The Lev Eisha Haggadah, Journey of the Heart
The Lev Eisha Pesach Cookbook, Passover Recipes from the Heart

Name*:

Address*:

City*:      State*:    Zip*:

Phone (with area code)*:

E-mail (IMPORTANT)*:

(optional) This is a GIFT membership, donated by:

  * indicates a required field

If you have any questions, please e-mail the Membership Chair.

Lev Eisha--A joyous community of Jewish women engaged in prayer, study and spiritual growth

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