Members Dues Renewal Form 25-26 - Form

To the Board of Trustees: by completing this form, I/we agree to abide by the financial policies of Temple Beth Shalom and such regulations as approved by its board of trustees. The temple’s financial policy states that dues are due in full on July 1, 2025, and that the board may authorize installment payments when necessary. I/we understand that the option to pay dues in installments is an accommodation and selection of the installment option does not relieve me/us of the obligation to pay my/our full dues pledge.

Dues Levels 2026-2026

Benefactors 
$5,500 Ner Tamid
$4,500 Chai
$3,900 Shalom

Families and Singles
$2,500 Sustaining
$1,800 Good Faith

Young Adults and Seniors on a Limited Income
$1,000 


Dues Levels for 2025-2026 year have stayed unchanged, however expenses keep increasing. If you are capable to donate 5% more, the temple would be so grateful for your support.

Please note that 20% of your total dues commitment must be paid by September 2, 2025, in order to obtain your e-tickets for High Holy Days services. There is a required $150 security fee for all households.

* Home Mailing Address

* City

* State

* Zip Code

* Primary Phone

Adult 1 -Title

* Adult 1 - First Name

Adult 1 - Middle Name

* Adult 1 - Last Name

* Adult 1 - Date of Birth

Adult 1 - Mobile Phone

Adult 1 - Work Phone

* Adult 1 - Email

Adult 1 - Occupation

Emergency Contact Name

Emergency Contact Relationship

If you are married, please do not put your spouse as an emergency contact.

Emergency Contact Cell Phone

Listed below are areas of congregational activities in which you may be interested. Check the committee(s) and program(s) in which you would like to be active or to which you can lend particular experience and skills.

* Photo Permission Choose Answer Below:

Photos may be used on the temple's website, social media, or in the temple's weekly email.

* Is there a second adult on this account that needs updated information?

Marital Status

Adult 2 - Title

Adult 2 - First Name

Adult 2 - Middle Name

Adult 2 - Last Name

Adult 2 - Date of Birth

Adult 2 - Mobile

Adult 2 - Work Phone

Adult 2 - Email

Adult 2 - Occupation

Photo Permission Choose Answer Below:

Photos may be used on the temple's website, social media, or in the temple's weekly email.

The box below is your PREVIOUS dues level for 24-25:

This will only be populated if you are logged into ShulCloud.

* Please choose a Membership Category:

We are asking households to increase their dues by 5% to help keep our synagogue financially secure. Please check the box below if you agree to the increase to help ensure the financial stability of Temple Beth Shalom.

As a Ner Tamid Supporter, I would like to contribute and additional 5%, making my total contribution $5775

As a Chai Supporter, I would like to contribute and additional 5%, making my total contribution $4725

As a Shalom Supporter, I would like to contribute and additional 5%, making my total contribution $4095

As a Sustaining Member, I would like to contribute and additional 5%, making my total contribution $2625

As a Good Faith Member, I would like to contribute and additional 5%, making my total contribution $1890

As a Young Adult or Senior Member, I would like to contribute and additional 5%, making my total contribution $1050

* I acknowledge I will be charged a $150 Security Fee.

This is a required field.

I would like to make an additonal donation to the Security Fund of:

* I would like to renew my Men's Club dues ($36):

This is a required field. Select yes, no or n/a.

* I would like to renew my Sisterhood dues:

This is a required field. Select yes, no, n/a

I would like to make an additional donation to Temple Beth Shalom:

Upload Individual or Family Photo

You can upload a maximum of 6 files.

Comments:

Total Membership Renewal Commitment