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Prospective Member Form
Please share your information below so that we can be in touch directly to get to know you and answer any questions you may have about our Temple Emanuel community.
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Name
*
Your answer
Email
Your answer
Would you like us to add your email to our list so you receive notices of our upcoming events and services? (You can later opt-out in the footer of any email.)
*
Yes
No
Not applicable (I do not have an email)
Phone
Your answer
Preferred method of contact:
*
Email
Phone (calls)
Phone (texts)
Required
Preferred contact time:
Weekday daytime
Weekday evenings
Weekends
Membership Interest(s) (check all that apply)
Services/Worship
High Holy Days
Adult Education
Social Action
Older Adult Activities
Early Childhood Center
Tot Shabbat / Events for Young Children
Family Activities
Teen Engagement
Religious School
Bar/Bat Mitzvah
Choir (Adult or Youth)
Is there anything else you would like us to know about you?
Your answer
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