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TBE Try-It Member 2022-2023 Application
Please verify reCaptcha before submitting the form.
Try-It Membership is an opportunity to join TBE for $360 for the first year. This special rate applies only to families who have never been TBE Members before.
If you need any assistance completing the form, please
contac
Victoria Gross, Account Administrator,
vgross@templebethemeth.org.
Please Note:
Temple Beth Emeth does not turn away members based on ability to pay. If you have any questions or concerns, please contact Bonnie Keen, VP for Finance, 734-945-6162,
Bonniekeen@me.com
or Shannon Hall, Executive Director, 734-665-4744,
shalll@templebethemeth.org
.
*
Adult 1 First Name
*
Adult 1 Last Name
*
Cell Phone
*
Billing Email
*
Birthdate
Adult 2 First Name
Adult 2 Last Name
Cell Phone
Email
Birthdate
Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
CHILDREN
Child 1 First Name
Child 1 Last Name
Birthday
Grade
n/a
Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Child 2 First Name
Child 2 Last Name
Birthday
Grade
n/a
Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Child 3 First Name
Child 3 Last Name
Birthday
Grade
n/a
Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Child 4 First Name
Child 4 Last Name
Birthday
Grade
n/a
Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
I am interested in religious/Hebrew school for my children:
Please Select One
Yes, I am interested in religious/Hebrew school for my child(ren)
No, I am not interested in religious/Hebrew school for my child(ren)
Thank you for your feedback.
Would you like to be contact by Director of Education?
Please Select One
yes
no
Benefits of Try-It Membership
If you join under the Try-It Membership category, members receive all of the typical member benefits including high holiday tickets, temple announcements and updates, and temple programming. If applicable - religious school fees will be charged at the regular member rates (less than non-member). Capital contributions can be deferred for the first year- so there are no additional fees.
*
Annual Try-It Membership:
Please Select One
$360
SIGNATURE
By typing your name, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
*
Please type your name(s) on the space below:
Total
Mon, March 20 2023 27 Adar 5783