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2024-2025 Membership Responsibility
Please verify reCaptcha before submitting the form.
Adult 1 Information
*
First Name
Middle Name
*
Last Name
*
Does Adult 1 have information that needs to be updated (address, phone number, etc.)?
Please Select One
Yes
No
Primary Address Line 1
Primary Address Line 2
Primary Address 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
Primary Address ZIP
Phone number
Email
Adult 2 Information
First Name
Middle Name
Last Name
Does Adult 2 have information that needs to be updated (address, phone number, etc.)?
Please Select One
Yes
No
Primary Address Line 1
Primary Address Line 2
Primary Address 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
Primary Address ZIP
Phone number
Email
Membership Responsibility Giving Levels
$2,500 Sustainable Amount
$2,501 - $3,599 Chai Level Donor Recognition Society
$3,600 - $5,399 Double Chai Level Donor Recognition Society
$5,400 - $7,199 Triple Chai Level Donor Recognition Society
$7,200 - $8,999 Quadruple Chai Level Donor Recognition Society
$9,000 - + Angel Level Donor Recognition Society
I am unable to pay the sustainable amount. I understand that I will need to discuss my membership responsibility with the Temple's treasurer, Sherri Kasper
*
I will contribute the following amount annually:
Wed, December 11 2024 10 Kislev 5785