New Member - Membership Commitment 2024-2025 - Form - Temple Beth Sholom

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New Member - Membership Commitment 2024-2025

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ADULT 1 INFORMATION

* First Name

Middle Name

* Last Name

Maiden Name

if applicable

* Birthdate (MM/DD/YYYY):

* Gender

* Pronouns

Email

* Cell

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

* Tribe at Birth

Is there a second adult applying for Membership?

ADULT 2 INFORMATION

* First Name

Middle Name

* Last Name

Maiden Name

if applicable

* Birthdate (MM/DD/YYYY):

* Gender

* Pronouns

Email

* Cell

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

* Tribe at Birth

HOUSEHOLD INFORMATION

* Address Line 1

Apt./Suite

* City

* State

* Zip

New Membership Commitment

* Select Membership Commitment

Please Select OneJoshua Society - Pillars of TBS: $50,000+Joshua Society - Circle of Guardians: $36,000+Joshua Society - Circle of Builders: $25,000+Joshua Society - Circle of Founders: $18,000+Joshua Society - Circle of Heroes: $10,000+Joshua Society - Circle of Benefactors: $7,200+Joshua Society - Circle of Friends: $5,400+Family Membership Commitment: $3,400+Single Membership (with school age kids): $2,600Single Membership Commitment: $1,800Associate/Non-Resident: $1000I will discuss my 2024-2025 Membership Commitment with the Executive Director.*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.

* I/We agree tp [ay the $500 Security Fee.

I/We agree tp [ay the $500 Security Fee.

Fri, October 11 2024 9 Tishrei 5785

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