Name + Address
The information you provide will be kept confidential. It is intended only for our records. If you have any questions, please contact Cheryl Wolf at 310.204.5200 x.213 or cwolf@beittshuvah.org


Mailing Address (if different)




Member Information
Member One
Member Two


Children Information
 
Child One
Child Two
Child Three
Child Four



Relationships
Do you have any relatives or friends who are current Congregation Beit T'Shuvah members? Yes     No
 
Relationship One
Relationship Two
Relationship Three
Relationship Four



Yahrzeit Information
If you have any yahrzeit(s) to commemorate, please fill in this information:
 
Yahrzeit
Male     Female
Yahrzeit
Male     Female
Yahrzeit
Male     Female
Yahrzeit
Male     Female

We will send you a reminder prior to the date. The name of your beloved will be read during the Shabbat service prior to the yahrzeit.
   Check this box if you are interested in a memorial yahrzeit plaque to honor the sacred memory of your loved one.



Programs of Interest + Community Involvement
Please indicate if you would like additional information or are interested in participating in the following programs. We will connect you with the appropriate community representative.
Member One
   B'nai Mitzvah    Social Action Committee
   Choir    Caring Communities
   Creative Arts    Sisterhood
   Adult Learning    Spearheading New Initiatives
   Shabbat Torah Reading    Fundraising + Development
   Kids Shabbat    Other
Member Two
   B'nai Mitzvah    Social Action Committee
   Choir    Caring Communities
   Creative Arts    Sisterhood
   Adult Learning    Spearheading New Initiatives
   Shabbat Torah Reading    Fundraising + Development
   Kids Shabbat    Other


Pay-What-You-Can Membership

Our membership program simply requests offerings made from the heart. Each member or family makes a commitment that is comfortable for them. Our recommended contribution of $500 per household does much to defray our temple's annual operating costs. Whatever you can afford today, whatever gift your heart moves you to make, allows Beit T'Shuvah to exist as a sanctuary for all.


Please select one of the following commitment levels for 2016-2017 membership:
For membership commitments of $500 and over you will receive 4 High Holiday Tickets.
For membership commitments under $500 you will receive 1 High Holiday Ticket.