Membership Application / Renewal / Contribution Form   5779 (Sep. 2018 – Sep. 2019)

Please fill in this online form and select payment method. If you prefer to send in a paper form, please click here to open a printable pdf version.

Your Name (required)

Name of Spouse or Partner

Children under 18, with names and dates of birth

Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone

Work Phone

Mobile Phone

Email (required)

Spouse's Email

Do you wish to have your contact information shared in our membership directory? (required)

Membership Level (no charge for children under 13)
All Membership levels include High Holiday Services. (required)

I will pay using:

Click the "Send" button to submit your reservation

Then proceed to the next section for payment.

To pay with PayPal (or credit card via PayPal) click the button on the right. Enter the amount and log in to complete the payment. On the second Paypal page be sure to enter KBS MEMBERSHIP in “Special instructions to the Seller”.

To pay by check
make payable to Congregation Kona Beth Shalom and mail to:
Michael Bernstone, Treasurer
P.O. Box 383205
Waikoloa, HI 96738

To pay using Give Aloha@Foodland during the month of September click here for instructions and be sure to notify KBS Treasurer Michael Bernstone that the donation is for your annual membership.


No one will be turned away from Services for inability to pay. Please contact to make arrangements.