NEW MEMBER INFORMATION
  • ADULT MEMBER
  • CHILD MEMBER
  • YAHRZEIT
MEMBERSHIP TOTAL
MEMBER INFORMATION
Members: 0
MEMBERSHIP PLEDGE
$0
RELIGIOUS SCHOOL
CBS SCHOLARSHIP FUND
Donation $0
$0
AUXILIARIES TOTAL
$0

NEW MEMBER INFORMATION FORM

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Adult Member Information

Please input the information in all the required fields.

ben bat
Would you like an Aliyah at High Holy Day Services?
Gender?
Are you married?
Are you jewish?
Kosher home?
Would you be interested in having a CBS Mentor?
You have my permission to list my information in the temple directory to be used only by temple members
Add Another Adult Member
ADD A CHILD MEMBER

Child Member Information

Please input the information in all the required fields.

ben bat
Gender?
Birth mother jewish?
Living at home?
Emergency Contact
Physician
Insurance Information
Secular School Information
Add Another Child Member
ADD A YAHRZEIT

YAHRZEIT INFORMATION

Please input the information in all the required fields.

ADD ANOTHER YAHRZEIT

ADULT MEMBER INFORMATION

CHILDREN MEMBER INFORMATION

YAHRZEIT MEMBER INFORMATION

ANNUAL MEMBERSHIP PLEDGE

When making your selection, please consider that the sustaining amount required to fund CBS’s activities for the new fiscal year requires an average membership pledge of $1,000.

Founder $7,200 $600/month
Benafactor $4,200 $350/month
Mensch $3,000 $250/month
Provider $2,000 $167/month
Supporter $1,200 $100/month
Other $/month

NOTE: All membership pledges are eligible for family High Holy Day tickets.

RELIGIOUS SCHOOL

Need to get some copy here to show the value of religious school at CBS.

NOTE: There is a $200 book fee per child per year charged for religious school.

CBS SCHOLARSHIP FUN

Some information about the CBS Scholarship Fund would go here.

I would like to make a donation of $ to the CBS Scholarship Fund.

PAYMENT PLAN OPTIONS

Please select the payment plan that best suits you.

  • Pay with check made payable to Congregation Beth Shalom for the full amount.
  • Pay full amount by Visa or MasterCard
  • Pay 50% by Visa or MasterCard and the balance on December 15, 2023
  • Design my own contribution plan
Down Payment
Payment Method:
Remaining Balance
Payment Frequency:
Payment Method:

PAYMENT PLAN OPTIONS

Custom Payment Plan Details

Down Payment on
Remaining Balance /month for 12 months on

REGISTER FOR AUXILIARIES

Auxiliaries will be paid for with separate checks. For any auxiliary you select, you will be contacted by a representative of that group to handle payment and signup.

Auxiliary Cost # to Register
Sisterhood (check will be made payable to CBS Sisterhood) $36.00
Men’s Club (check will be made payable to CBS Men’s Club) $36.00
USY (check will be made payable to CBS USY) $75.00
Kadima (check will be made payable to CBS USY) $50.00

PERSONALLY IDENTIFIABLE INFORMATION OPT OUT INSTRUCTIONS

CBS publishes an annual membership roster that includes members’ contact information and children’s names. All such information will be included in this roster unless you provide the Annual Congregational Roster & Opt Out Form no later than 29th April, 2023. This form is available here.

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