Edgware Adath Yisroel Congregation

For a GIFT AID FORM click here

At Edgware Adath we welcome new members and ask that you please fill out the form below. If you are an existing member and wish to change your details please feel free to also use this form. Click on the 'Send Form' button at the bottom to send us the form. Where Hebrew names are asked for try and translate phonetically and please input your name as used for a Aliyah (i.e. name BEN father's name). We will contact you if we have a problem.

Title
Surname
First Name
Other Names
Address1
Address2
Address3
Address4
Post Code
Hebrew Name		ben/bas
Are you a
Wife's Name
Home Tel
Home Fax
Work Tel
Work Fax
Mobile
Other Tel
Email
Email2
Email3
Burial Society Membership Required		Burial Society Membership is with the Adath Yisroel Burial Society and only available to Full Members. The Full membership fees are considerably discounted for the first two years for new young married members.
Membership Type
Please list Yahrzeits
Please list any children's ages and sex
For New Members
Date of Birth
Marital Status
Place of Marriage
Date of Marriage
Wife's Date of Birth