* Required

Questions about this form? Contact Membership Coordinator, Ariana Shane and she will be happy to help!
310-652-7354 ext 223 or ashane@tbala.org

Adult Household Members

Member 1

ie: Moshe ben David v'Sara​
Religious Background
Names, Location, Dates​
Include Name, Location, and Affiliation (Conservative, Orthodox, Reform, etc.)​
Date (or approximate date), Location, Sponsoring Rabbi​​​

Member 2

ie: Moshe ben David v'Sara​
Religious Background
Names, Location, Dates​
Include Name, Location, and Affiliation (Conservative, Orthodox, Reform, etc.)​
Date, Location, Sponsoring Rabbi​

Home Contact Information


Children

Please provide children's full name(s), sex, birth date, Hebrew name, and School​​
Please list your adult children's names, spouse (if any), Birth date, Address, and Email​​​
Please list names and relationships​​

Please list name of deceased - English and Hebrew names, Date of Death (mo/dd/yy), Before or After Sundown, and Relationship​

Membership Types

Please select ONE of the following Membership Categories:

Includes High Holiday tickets in the Service of your choice. 1 ticket for One-Member Household, 2 tickets for Two-Member Household.​​​​​​​​​​​​
Under age 35; no JLC or Day School privileges.​​​​​​​​​​​​
No JLC or Day School privileges.​​​​​​​​​​
Join a visionary group of Temple Beth Am and Pressman families whose generosity makes our community strong! ​​​​​​​​

Community Kihilla $1-$999
Friends Haverim $1,000-$1,799
Head's Circle/Angel $1,800-$3,599
Prophets Neviim $3,600-$7,999
Supporters Tomkhim $8,000-$17,999
Builders Bonim $18,000-$24,999
Benefactors Tzadikkim $25,000-$35,999
Heroes Giborim $36,000-$49,999
Guardians Shomrim $50,000-$99,999
Pillars Amudim $100,000 +


Please select ONE of the following participation options:

Please select your payment preference. Please note that if you select the 50% option, the balance must be paid by December 31, 2020.​​​​​​​​​​​​
Please provide your name and best phone number to reach you. Victor Krymer in accounting will contact you for additional information needed to process payment plans. Thank you.​​​​
Please indicate the portion of your dues you would like to pay now.​​

Additional Fees & Participation

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.​

Additional Fees & Participation

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.​

Additional Fees & Participation

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.​




Opportunities for Involvement at Temple Beth Am

If you'd like to be involved but you're not sure how, please don't hesitate to contact Lia Mandelbaum, our Director of Programming & Engagement at 310-652-7354 ext 215