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New Member - Membership Commitment 2025-2026
Please verify reCaptcha before submitting the form.
ADULT 1 INFORMATION
*
First Name
Middle Name
*
Last Name
Maiden Name
if applicable
*
Birthdate (MM/DD/YYYY):
*
Gender
Please Select One
Female
Male
Other/Non-binary
*
Pronouns
Email
*
Cell
Hebrew Name
Please type your Hebrew name in English. This is not a required question.
Father's Hebrew Name
Please type father's Hebrew name in English. This is not a required question.
Mother's Hebrew Name
Please type mother's Hebrew name in English. This is not a required question.
*
Tribe at Birth
Please Select One
Kohen
Levi
Yisrael
Jew by Choice
This is not a required question.
How many adults are applying for Membership?
Please Select One
1
2
ADULT 2 INFORMATION
*
First Name
Middle Name
*
Last Name
Maiden Name
if applicable
*
Birthdate (MM/DD/YYYY):
*
Gender
Please Select One
Female
Male
Other/Non-binary
*
Pronouns
Email
*
Cell
Hebrew Name
Please type your Hebrew name in English. This is not a required question.
Father's Hebrew Name
Please type father's Hebrew name in English. This is not a required question.
Mother's Hebrew Name
Please type mother's Hebrew name in English. This is not a required question.
*
Tribe at Birth
Please Select One
Kohen
Levi
Yisrael
Jew by Choice
This is not a required question.
HOUSEHOLD INFORMATION
*
Address Line 1
Apt./Suite
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip
New Membership Commitment
*
Select Membership Commitment
Please Select One
Joshua Society - Pillars of TBS: $50,000+$500 Security Fee
Joshua Society - Circle of Guardians: $36,000+$500 Security Fee
Joshua Society - Circle of Builders: $25,000+$500 Security Fee
Joshua Society - Circle of Founders: $18,000+$500 Security Fee
Joshua Society - Circle of Heroes: $10,000+$500 Security Fee
Joshua Society - Circle of Benefactors: $7,200+$500 Security Fee
Joshua Society - Circle of Friends: $5,400+$500 Security Fee
Family Membership Commitment: $3,600+$500 Security Fee
Single Membership (with school age kids): $2,600+$500 Security Fee
Single Membership Commitment: $1,800+$500 Security Fee
Associate/Non-Resident: $1000+$500 Security Fee
I will discuss my 2024-2025 Membership Commitment with the Executive Director.
*New members receive a discount of half the Membership Commitment Fee in their first year of membership. This applies to Family, Associate, Single and Single with School Age Children.
**Associate/Non-Resident Membership Commitment is for those who wish to support and maintain connection with Temple Beth Sholom and are members in good standing at another synagogue or have moved 25 miles or more away from the area. Each year, you will be asked to provide a letter from the other synagogue.
***For more information on the Joshua Society,
click here
.
*
Would you like to make an additional donation?
Please Select One
Yes
No
*An additional donation of $1800 will bring you to the Joshua Society level.
**Joshua Society members can add to the minimum fee charged on this form.
*
Enter donation amount here
Total
Sat, July 12 2025 16 Tammuz 5785