Temple Beth Shalom

(352)329-2031| Contact Us ||

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Membership Application

Membership Application

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Your Personal Information

Date

MM slash DD slash YYYY

Choose One

Mr.

Mrs.

Miss

Ms.

Dr.

Hon.

Person 1

First Last

Hebrew Name

Date of Birth

Choose One

Mr.

Mrs.

Miss

Ms.

Dr.

Hon.

Person 2

First Last

Hebrew Name

Date of Birth

Email Address 1

Enter Email Confirm Email

Email Address 2

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Marital Status

Married

Single

Widowed

Divorced

Couple

Anniversary

Person 1

Profession/Occupation (former if retired)

Sales

Marketing

Engineering

IT/Technical

Clerical/Accounting

Facilities Maintenance

Other

Company/Organization

Address, Business Phone

Person 2

Profession/Occupation (former if retired)

Sales

Marketing

Engineering

IT/Technical

Clerical/Accounting

Facilities Maintenance

Other

Company/Organization

Address, Business Phone

Billing Address

In case of emergency, notify

Name/Phone #

Child 1:

Name/Nickname Date of Birth Bar/Bat Mitzvah - Year/Where Confirmation - Year/Where Attending College? Any other info?

Child 2

Name/Nickname Date of Birth Bar/Bat Mitzvah - Year/Where Confirmation - Year/Where Attending College? Any other info?

Grandchildren

Name(s) Date(s) of birth

Parents, Person 1

Name If deceased, date of death

Parents, Person 2

Name If deceased, date of death

Religious Tradition raised, Person 1

Religious Tradition raised, Person 2

Previous Congregational Affiliation

Name and Location Affiliation Dates Active in Synagogue Life? Reason for Resignation? Date of Resignation

Yahrzeit 1

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 2

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 3

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 4

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 5

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 6

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 7

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Yahrzeit 8

English Name; Hebrew Name; To Whom: Member 1 or Member 2; English Date (required); Hebrew Date; Relationship;

Getting to Know You

New to Ocala?

Jewish Organizations You are involved with or Want to learn more about:

Are you related to members of the Temple Beth Shalom family? If so, please list names/relationships:

How did you learn about Temple Beth Shalom

How can we help you grow in Judaism? Temple Beth Shalom offers ongoing classes for adults in the congregation on a variety of topics. What topics are you interested in studying? (for Example: B'nai Mitzvah training, learning to read/speak Hebrew, learning parts of the service, Torah study)

May we call upon you for Hebrew service participation? Please indicate all you are comfortable with:

Publicity

May we share the joy of your birthday/anniversary with the Congregation in the Temple Bulletin and Sisterhood Uniongrams?

Person 1

May we share the joy of your birthday/anniversary with the Congregation in the Temple Bulletin and Sisterhood Uniongrams?

Person 2

Do you give permission to have photographs taken and used in the Temple Bulletin or other communications?

Person 1

Do you give permission to have photographs taken and used in the Temple Bulletin or other communications?

Person 2

Membership Categories/Dues - Security Fee Per Membership Unit: $150; Capital Fund - to be discussed with Treasurer upon acceptance of membership

Please Select 1 Category;

Family Membership (2 or more adults including children under 21) Under 65 - $1500; 65 or Over - $1200

Individual Family Membership (1 adult and children under 21) Under 65 - $900; 65 or Over - $850

Individual Membership (1 adult) $1100

Associate Membership (1 or more adults residing outside Marion or any contiguous counties) $500

If you are experiencing financial difficulties, please speak with our Treasurer and/or President

NO MEMBERSHIP WILL BE DENIED BECAUSE OF DUES

Δ

Location & Hours

Shabbat services
Currently meeting live at our new building
Friday evenings at 7:00pm
Call (352)329-2031

Address:
6140 SW 78th Avenue Road
Ocala, FL 34474
(Across from the entrance to Stone Creek)

Events

Currently meeting live at our new location:
6140 SW 78th Avenue Road
Ocala, FL 34474
(Across from the entrance to Stone Creek)

Recent Posts

November Newsletter
OCTOBER NEWSLETTER
September Newsletter
August Newsletter
JUNE – JULY NEWSLETTER

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LOCATION AND TIME

Currently meeting live Friday evenings at 7:00 PM at our new building on:
6140 SW 78th Avenue Road
Ocala, FL 34474
(Across from the entrance to Stone Creek)

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