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Family Entry

Local Address

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Seasonal Address

Emergency Contact Information

I/We hereby apply for membership in Temple Beth El. Each of the undersigned agrees to pay and be responsible for annual dues, building fund (if applicable), school tuition (if applicable), and other charges as may from time to time be established or changed by the Board of Directors and/or the congregation. *According to our by-laws, at least one adult member of your family must be Jewish to apply for membership. By signing below, you agree to all statements above.

Interests - check all that apply
Interests - check all that apply

Payment Information

This area must be completed with your application. You have selected the {chooseA} membership plan. Check the table below for the fee associated with your plan. The minimum payment due with this application is the Monthly Fee linked to your membership plan.

Membership Type

Family

Individual

Associate

Young Adult

Conversion

Monthly

$140

$95

$84

0

$95

Per Year

$1680

$1140

$1008

0

$1140

How will you be paying for your membership?
Check the table above for the fee associated with the {chooseA} Membership Plan. Please write "Membership" in the memo part of your check and mail it to: Temple Beth El 5150 Peridia Blvd. East Bradenton, FL 34203

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