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Membership Application

New Member
Membership Application 2024-2025
July 1, 2024- June 30, 2025
Adult #1 Information
Adult #2 Information
Child #1 Information
Child #2 Information
Child #3 Information
Emergency Contacts 
Please list persons full name, phone number and relationship to you.
Yahrzeit Information
Please list the names and dates of those for whom you wish Yahrzeit (anniversary or death) notices sent. Please note the time of death (before or after sundown) is needed to determine the date of death on the Jewish Calendar. 
Types of Membership
 
Additional Items
 
All members must have a parking pass to enter campus. Please check the box above so we can have your parking pass ready for pick up in the temple office.
Payment Policies and Fees
  • 1st months payment for membership is due with application. Payments for membership can be set up over installments. Payments must be completed by May 1, 2025.
  • Yearly Security Fees (you only pay one security fee based on the following):
    • $300 yearly security fee for membership
  • A $180 Refresh, Refurbish and Renew Fee (RRR) (helps with major improvements to the building) this is an opt-out fee. 
 
Membership Rates 2024-2025
July 1, 2024 - June 30, 2025
 
Security Fee
$300 

RRR Fee
$180

Membership Commitments Yearly Fees

ACH Payment Information (No changes may be made within 10 business days of payment)
Credit Card/Debit Card Payment Information
(Credit card payments will incur a 3% convenience fee, there are no additional fees for debit card payments))
Sat, December 21 2024 20 Kislev 5785