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MEMBERSHIP APPLICATION FORM 2023-2024

Adult #1

Adult #2

Street, P.O. Box, Apt #, etc

CONTACT INFORMATION

Adult #1

Adult #2

OCCUPATIONAL INFORMATION (If retired, please note previous occupation)

Adult #1

Adult #2

Child #1

Child #2

MISSION STATEMENT

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Temple Beth Shalom is a welcoming, inclusive community, celebrating Reform Judaism, exploring our connection with God, and dedicated to learning and pursuing justice.

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I hereby apply for membership in Temple Beth Shalom and commit myself to the purpose of this
congregation as expressed in the TBS mission statement.

Are you interested in information about:

Have you ever been a member of a congregation affiliated with the Union for Reform Judaism?

To be observed by (You can choose both):

Thank you for taking the time to complete this membership form.

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We are delighted to welcome you and would like to introduce you to the congregation! Would you be willing to have a brief bio and photo appear in our Temple Bulletin?

Click here to download

FAMILY INFORMATION:

YAHRZEITS

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