HOJMI Membership Application 2026/2027Δ Step 1Step 2Step 3Step 4APPLICATION FOR MEMBERSHIP 2026/2027 (5787)Must be completed and returned to the HOJMI office by September 1, 2026B"HMember InformationPlease fill in the primary contact details for your membership.Family NameContact AddressAddressCityProvince/StateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweTelephone daytimeTelephone cellularTelephone workEmail AddressMembership Type Family Single StudentPreviousNextAdults Section Adults: Surname First Name Attendance RH- Select Option -YesNo Attendance YK- Select Option -YesNo Hebrew Name (Include father and mother’s name) Gender- Select Option -MaleFemale Date of Birth Children under age 18 who need seats for the High Holidays Children under age 18 : Surname Gender- Select Option -MaleFemale Attendance RH- Select Option -YesNo Attendance YK- Select Option -YesNo First Name Hebrew Name (Include father and mother’s name) Date of Birth Children 18-25 years who are Full-Time Students who need seats for the High Holidays Children 18-25 years Surname Name of Post-Secondary School Attendance YK- Select Option -YesNo First Name Gender- Select Option -MaleFemale Attendance RH- Select Option -YesNo Additional Children and Out of Town Guests who NEED seats for the High Holidays: Additional Children and Out of Town Guests Surname Relationship to Member- Select Relationship -ChildParentRelativeFriendOther Attendance RH- Select Option -YesNo First Name Gender- Select Option -MaleFemale Attendance YK- Select Option -YesNo PreviousNextMembership Dues PayableFamily Membership Fee Family Membership ($2400)Single Membership Fee Single Membership ($1200)Student Membership Fee Student ($250)Contribution to Sisterhood programs Contribution ($25)Voluntary Contribution AmountDiscount Amount (requires pre-approval)Friend of HOJMI Family Friend Family ($2400)Friend of HOJMI Single Friend Single ($1200)Personal Locker Rental Locker Rental ($180)Number of Additional Child Seats ($75 each)Number of Out of Town Guests ($250 each)Calculated Total Dues ($)Payment InformationSelect your payment method below.Payment Method Pay in full at office Pay with postdated cheques I wish to pay by Interac e-Transfer I wish to pay by Visa or MasterCardPayment Amount Calculated : Number of Cheques I hereby affirm that all information provided in this membership application is accurate and complete.Notes for the Office (optional)PreviousNextPlease Review Your Application Check everything below is correct before submitting. 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