To join WOW, please print out and complete the membership form below!

Name: ______________________________________________________________

Address: ____________________________________________________

City: ___________________ State: ____ZIP:______________


Email: _______________________________________________________

Birthdate: ____________________________________________________________

Time of Birth (as close as you know it) _____________________________________

Please notify me of WOW updates via: (check one only)
phone: ______

__ Enclosed is my $18 for annual membership dues.

__ In addition to my membership dues, please accept my contribution of $____ towards Women of Worth expenses.

Please make your check payable to: Congregation Ohr HaTorah

Mail together with your registration to:

6619 Sardis Road
Charlotte, NC 28270