Kehilla Member Directory Preferences Form

Kehilla is installing a members' directory that will be accessible by logging into the member-only section of the Kehilla website. We will send you details about the directory and how to access it once setup is finalized.

In this form, you can indicate what contact information you'd like to include in the directory and/or request a hard copy of the Kehilla member roster to be mailed to your house.

First Name

Last Name

I would like the following information included in Kehilla's member directory (ONLY uncheck if you do NOT want this information listed):

Full Name (note that if you uncheck this, you will not be listed in the Kehilla member roster AT ALL)Email addressPhone number City and zip code

If you chose to exclude information from the roster, please tell us if it should affect just you or your entire household

Just me - leave my partner's / other adults' in the household information on the rosterEntire household - please remove this information from the roster for all members of my household

Snail Mail Roster:

Please mail me a hard copy of Kehilla's member roster

Address Line 1

Address Line 2

City

Postal Code

State

Country

Provinces

State/Province

Contact Information