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Application Form

(e.g. Yaacov ben Moshe)
(e.g. Sarah bat Miriam, Moshe ben Ilana)
(e.g. Congregation Sherith Israel, Nashville, TN)
Please note that our bylaws require new members to have no outstanding obligations to other synagogues.
Choose as many as you wish.
Annual dues are: $1,800 for full members, $750 for associate members, $500 for Grandparents Circle and $300 for youth student members. Please note: an annual security fee of $180 is required for all membership categories.
Because we do not intend financial constraints to be a barrier to membership, special arrangements can be made confidentially with the Treasurer and/or Financial Secretary. Installment payments may be arranged and can be paid by check or credit card.
Additional Family Members
Please provide the Name, Hebrew Name, and Date of Yahrzeit (Common and Hebrew Calendars) for each yahrzeit you observe.
(e.g. Goldberg37205)
(e.g. Goldberg37205)

 

Wed, June 25 2025 29 Sivan 5785