2021-2022 Registration Form

Membership is annual from July 1 through June 30.

Thank you for joining the PAS Young Couples Group!

Park Avenue Synagogue’s Young Couples Group (YCG) is a community-building social networking group comprised of synagogue members typically between the ages of 25 to 45. YCG provides a welcoming entryway, especially for new PAS members, into the greater PAS community.

Your Information

Please note, couples must be a PAS members to join the Young Couples Group.

First Name #1

Last Name #1

Email Address #1

Preferred Phone Number #1

First Name #2

Last Name #2

Email Address #2

Preferred Phone Number #2

Membership Dues

Young Couples Group dues are $54.00/year.

If you joined PAS within the past year, your first Young Couples Group membership will be free of charge. Have you joined PAS within the last year?

YesNo

Total Registration

I am paying by

Please bill my account
I want to pay by credit card

Credit Card Information

First Name on Card

Last Name on Card

Credit Card Number

Exp Month

Exp Year

Security Code

Billing Zip Code

Use different billing address?

Billing Address

Billing City

Billing State

Questions? Please contact youngcouples@pasyn.org

PLEASE CLICK SUBMIT ONLY ONCE.

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