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Membership Application

 

In order to fill out this form completely, please scroll down and click on all the sections in blue type to open them (Adult Information, Yahrzeits, Children Information, Membership Classification).

Adult 1

Title, First Name, Last Name

Yes
No
Converted
Orthodox
Conservative
Reform
Secular
Christian
Secular
Other
Adult Education
Board of Directors
Brotherhood
Sisterhood
Social Action
Transportation Assistance
Landscaping/Gardening
Choir
Library
Fund Raising
Senior Adults
Mah Jongg
20's and 30's Group
Caring Community
Legal
Mailings
Computer
Community Relations
Clerical Help
Sound Systems
Photography
Handy-Person
Other

This image will be used for office purposes only.

Adult 2

Title, First Name, Last Name

Yes
No
Converted
Orthodox
Conservative
Reform
Secular
Christian
Secular
Other

MM/DD/YY

Adult Education
Board of Directors
Brotherhood
Sisterhood
Social Action
Transportation Assistance
Landscaping/Gardining
Choir
Library
Fund Raising
Senior Adults
Mah Jongg
20's and 30's Group
Caring Community
Legal
Mailings
Computer
Community Relations
Clerical Help
Sound Systems
Photography
Handy-Person
Other

Child 1

First Name, Last Name

If not living with Parent(s)

Yes
No

Child 2

First Name, Last Name

If not living with Parent(s)

Yes
No

Child 3

First Name, Last Name

If not living with Parent(s)

Yes
No

**If you are need of dues relief, please still select the membership classification that applies to your household and check the Dues Adjustment box below.**

Couple (two adult household) $2,900.00
Senior Couple (one person 65 or older) $2,175.00
Single (one adult household) $1,480.00
Senior Single (65 or older) $1,120.00
Young single adult (under 30) $395.00
Associate (member of another temple or child enrolled in a Jewish Day School or Preschool) $880.00

Our Annual Security Assessment is for the safety and well-being of our community and its members.

Annually $280.00

*New members also pay a Building Maintenance Assessment of $300 annually for 3 years; all other members pay an Annual Maintenance Repair Fund charge of between $75 and $205 per year.

Member 1 - 3 years $300.00

*In 2019 the temple took out a loan for the complete renovation of our property's parking lot. This assessment will be in place until the loan is paid off (approximately six years).

Annually $100.00
$

Please make check payable to TEMPLE SINAI OF GLENDALE totaling the amount in the parenthesis above.

Dues Adjustment

I would like to be contacted by the Financial Secretary

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

Increase the amount by 2.5% to cover credit card fees. Please select YES to increase your payment.
Total:   

For added Security please check the box below.