Friends of Central Synagogue

Hidden Section

Prefilled Contact?

Household Account Id

Synagogue Account ID

Contact ID

Friends Dues Campaign Id

Friends Donations Campaign ID

Friends Dues Campaign Name

Friends Campaign Start Date

Friends Campaign End Date

Waitlist Campaign Member?

YesNo

Household Friends Status

Returning Friends Member?

Waitlist Campaign Id

Friends Join Date

Friends End Date

Welcome! We are so glad that you would like to become a Central Friend. Complete the following questions to start receiving monthly curated content, invitations to special virtual events, and other benefits of this program.

Please confirm that the information on this form is correct and make any changes or additions that are necessary.

Registration form for:

Household Information

We encourage Friends to be connected to a local synagogue whenever possible. Are you currently a member of another congregation?

YesNo

Synagogue Information

Synagogue is prefilled

I am no longer a member of this synagogue

Synagogue Name

Country

State

Province

City

Updated Synagogue Information

If you are currently a member at another synagogue, please list that here.

Synagogue Name

Country

State

Provinces

City

Thank you for becoming a part of the Friends of Central Synagogue! Our records indicate that you have already completed your registration form for this year.

If this is in error, please contact our team at membership@censyn.org

Adults in Household

Please confirm the following information

Adult 1

Title

First Name(s)

Nickname/Preferred First Name

Middle Name(s)

Last Name(s)

Email Address

Preferred Phone Number

Phone Type

Date of birth

MM/DD/YYYY

Gender

Please share here:

Affiliation Prefilled?

YesNo

Add an additional adult to your household

If you do not have an additional adult to add to your household, leave the box above unchecked.

Adult 2 Information

Relationship status between you and this household member

Anniversary Date

Who should receive billing communications?

Adult 1Adult 2Invoices, tax statements, etc.

Title

First Name(s)

Nickname/Preferred First Name

Middle Name(s)

Last Name(s)

Preferred Phone Number

Phone Type

Email Address

Please provide an email that is different than your own

Date of birth

MM/DD/YYYY

Gender

Please share here:

Adult 2 Contact ID

Primary Home Address

Please enter the address where you live. If you have more than one home address, list the address where you spend most of your time.

Street Address

City

Country

State

Province

Postal Code

How Did You Hear About Us

How did you hear about Friends of Central Synagogue?

Friends of Central Pricing

We are so grateful that you have chosen to participate in Friends of Central. The annual fee for new households is $500, which supports ongoing costs of the technology, staffing, and special programs that keep Friends and Clergy connected. All payments can be spread out over the course of a year.

My annual fee will be: $500

I wish to pay:

In full todayMonthly via autopay

Note you will be charged $41.67 today and on the 5th of each month.

How would you like to pay?

Credit CardACH

Total Amount:

$

I'd like to make an additional donation to Central Synagogue today!

Additional Donation Amount:

$

Total Charge Today:

$

Credit Card Information

Name on Card

Billing Email

Card Number

MM

YY

Code

Click submit below to complete your payment for Friends of Central.

You'll be redirected to our ACH payment processor after you click "Submit" below.

Please give this page a moment to connect! Thank you so much for your patience.

A lot happens when you click Submit! It may take a minute or two for your registration to load so please be patient and don't refresh the page or click the button again. Let it do its work! Thank you.

Paylink Configuration