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Membership Application

APPLICANT #1
APPLICANT #2


Children (under 25 years of age)
Child 1

 

 

 

 

 

 
Child 2

 

 

 

 

 

 
Child 3

 

 

 

 

 

 
Child 4

 

 

 

 

 

 

Yahrzeit(s) of Family/Loved Ones
(please complete if you wish to receive an annual reminder)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How might you like to get involved at Bet Am Shalom? 
APPLICANT #1
APPLICANT #2
Responsibilities of Membership
I/we understand that we are expected to participate in the life of Bet Am Shalom and look forward to our active involvement.  I/we agree to abide by its by-laws and ritual practices as authorized by the Board of Trustees and Ritual Committee.  I/we also understand the financial commitments of membership as outlined in the Fee Schedule received with the membership package.  I/we will be responsible for all dues, pledges, tuitions, fees, and assessments for which we become obligated as a result of our membership and agree to initiate a confidential discussion with a Bet Am Shalom financial officer, if genuine financial need warrants.  
Wed, February 8 2023 17 Sh'vat 5783