Membership Registration
Please fill in this form to become a member of Temple Israel. You will be contacted by the TI membership team. Please allow up to 3-4 weeks for processing.
Type of membership *
First Name 1 *
Name of first (if multiple) adult applying for membership
Your answer
Last Name 1 *
Name of first (if multiple) adult applying for membership
Your answer
Hebrew Name 1
(If Known)
Your answer
Primary Phone Number *
Your answer
Email Address *
Write "no email" if you do not use email.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Please indicate if you are willing to share your contact information in the Temple Membership Directory. *
Birthdate
MM
/
DD
/
YYYY
Religious Background
Religious tradition(s) in which you were raised (check all that apply)
Special Needs
Are there any special needs you and/or family members have of which the synagogue should be aware?
Your answer
Jewish Experience
Please describe your Jewish experience thus far and what you are looking for. Feel free to write about other communities you have been involved in, your spiritual practice, or ways of being involved in Jewish life.
Your answer
Membership Dues *
Yearly annual dues are the following: Family: $1200-$1500, Individual: $600-800, Associate & Friends: $360-500. As a new member, you are entitled to a 50% discount your first year. We do not refuse membership to anyone for financial reasons. If you wish to discuss dues payments or abatement, or have any other questions regarding dues, please contact Temple treasurer Carol Silver at 413-773-5608.
Other Family Members?
If you choose "Second Adult" an opportunity to add children will appear after that page.
Other Family Members *
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