Sign In Forgot Password

Temple Shalom New Membership Application

Account Information

Phonetically-- example Malka ben/bat Yakov/Yohevet
NOTE: Either as the second member on your account; or just as another contact for Temple Shalom. 
Phonetically-- example Malka ben/bat Yakov/Yohevet

18 years or younger
Phonetic
if past, or if known for future
if past
Phonetic
if past, or known for future
phonetic
if past, or known for future
phonetic
if past, or known for future

Member Acknowledgement

  • All information provided is accurate to the best of my knowledge.
  • In the future, Temple Shalom Membership shall automatically renew at the start of the fiscal year, July 1st.
  • I am responsible for all financial obligations that I incur with Temple Shalom.
  • Special Arrangements do not renew automatically and must be requested each year (with supporting documentation), before the start of the fiscal year, July 1st.  In the absence of a request and all supporting documentation from me, Temple Shalom will assume my financial hardship has been resolved and I will be renewing my full membership contribution to the community.
  • Temple Shalom Membership renewal will be done at the same membership category, same prevailing dues level, and with the same payment method at the time of renewal, unless I inform Temple Shalom in writing before the start of the fiscal year, July 1st.
  • It is my responsibility to contact Temple Shalom if there are any changes to my payment method, membership status, and/or information concerning members of my household. 
Fri, March 29 2024 19 Adar II 5784