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Membership Application: Congregation Temple Israel

Please fill out this form in its entirety.

Mrs., Mr., Dr. or other


As an organization open to the public, Temple Israel may take and use photos or video of members and guests in digital or print communications. If you have any questions, please contact Erin Wolfman May, Communications Director, at emay@ti-stl.org or 314-432-8050.

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We love when members participate as much as they are comfortable with, and we have many opportunities to be involved. Each individual’s participation will help strengthen the community and make the experience at TI more meaningful. Please let us know more about your interests and special skills and feel free to write in any that are not listed.

Mrs., Mr., Dr. or other

If same as Adult #1, put "SAME" in box


MM/DD/YYYY









We love when members participate as much as they are comfortable with, and we have many opportunities to be involved. Each individual’s participation will help strengthen the community and make the experience at TI more meaningful. Please let us know more about your interests and special skills and feel free to write in any that are not listed.

DD/MM/YYYY

Yes
No
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group




(Instrument, shofar, voice, baking, teacher's aide, etc.)

DD/MM/YYYY

Yes
No
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group




(Instrument, shofar, voice, baking, teacher's aide, etc.)

DD/MM/YYYY

Yes
No
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group




(Instrument, shofar, voice, baking, teacher's aide, etc.)

DD/MM/YYYY

Yes
No
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group
Yes
Need more info
Not in age group




(Instrument, shofar, voice, baking, teacher's aide, etc.)

Please specify above with *** if any of these family members died in service to our country.

I / We hereby apply for membership in Congregation Temple Israel, St. Louis, Missouri.
If our application is approved, I / we hereby agree to submit the Dues Payment Form as well as the pro-rated portion for the current year.
I / We hereby understand dues are subject to annual adjustments.

We offer varying support levels for our members and are proud we do not turn anyone away due to financial hardship. Our Membership Manager, Lisa Hirshberg, will contact you once you complete the application and discuss options.

In order to join Congregation Temple Israel, your typed name below indicates you affirm that the following statements are true:

-All financial obligations to current or previous congregations are current
-All previous obligations as to dues, building funds, or other pledges have been paid
-Agreed upon dues with TI must be current to receive rabbinical services
-If we wish to resign from TI, we will do so in writing and all amounts owed at the time of resignation will remain our obligation until fully paid or otherwise discharged

Annual payment
Quarterly (Jan., April, July, Oct.)
Monthly
Credit card
Mailing a check
ACH (Checking account)
Stock transfer

Account Details

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Payment Information

  

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