TNS Membership Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this membership form and send with a check to:
Temple Ner Shalom Membership, 875 Laureate Lane, San Luis Obispo, CA 93405
Payments and donations can also be made online at www.templenershalom.org

Email *

Name(s)

Street (Mailing) Address

City

State

Zip Code

Phone (Home)

Phone (Cell)

Email(s)

Please list English & Hebrew names and birthdates of each family member (Hebrew name with ben/bat)

Yahrzeit Names and Dates (English/Hebrew, including ben/bat)

Please check areas of service in which you are able to help

Telephone others as needed

Host an Oneg Shabbat (Friday night or Saturday)

Serve on a Temple committee

Help conduct a service

Be a substitute teacher (Hebrew/Sunday school)

Host a Seudat Shlishit (Saturday evening potluck)

Teach a class in Jewish studies

Teach a Hebrew class

Host members/guests for Shabbat

Lead a Torah portion discussion

Organize a TNS women's event

Other:

Annual Membership Dues

$2160 Chai Membership (or $180 per month)

$1800 Family Membership (or $150 per month)

$1260 per Single (or $105 per month)

$36 per Student

Please contact me about alternative ways I can contribute

Clear selection

Building Fund Assessment Fee

I will pay the full one-time Building Fund assessment fee of $1000

I choose to pay the one-time Building Fund fee over a period of 3 years

Clear selection

This year, I can pledge $_______ in lieu of full membership dues

I can give more than the minimum amount stated and would like to pledge $_______ (per month or year).

www.templenershalom.org/giving

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms