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Temple Beth Sholom Membership Application

Adult 1
Adult 2

Child Info

Please list name, Yarhzeit date (before or after sundown) and relationship to which member.

Annual Commitment
Standard Annual Commitment
Makes all full time, full dues-paying members part of the Circle of Giving Sustainer Level

Temple Beth Sholom has a mandatory Security Assessment of $425 due annually.

*Age of the eldest adult in the household
**The 12 monthly payment option must be paid in full by May 31, 2023. Payments are prorated over the number of remaining months until May 2023.

Are you interested in learning more about our TBS Legacy Endowment Campaign?
I have read and agree to the TBS Publicity Release policy online at

Supporting the Reform Israel Fund


As a member of Temple Beth Sholom, I understand that I am making a full-year financial commitment to support the Congregation. I further understand that the Temple depends on this commitment, and I pledge to fulfill my financial obligation on or before May 31, 2024. If I am unable to do so, I agree to contact the Temple Executive Director to make alternative payment arrangements.
Wed, December 6 2023 23 Kislev 5784