Temple Israel Portsmouth Membership Application

Calendar

Thank you for your interest in Temple Israel Portsmouth!

Please fill out the Membership Application below. Visit our website for more information about Membership benefits or School and Membership Fees. If you have any questions please email the Temple Office or our Membership Committee. We look forward to having you as an active member of Temple Israel!

Applicant Information

I am applying as for the following membership category:

Lack of ability to pay the full dues should never be a barrier to becoming a Temple Israel member. To request a dues reduction, please check the appropriate box on the bottom of this Membership Application. Confidentiality will be honored.

Contact Information

* First Name

* Last Name

Birthday

Phone Number

Cell Phone

Email Address

Home Address Line 1

Home Address Line 2

* City

State

Zip Code

Occupation (Current or Former)

Contact Info: Spouse / Partner

First Name

Last Name

Birthday

Phone Number

Cell Phone

Email Address

Address Line 1

Address Line 2

City

State

Zip Code

Occupation (current or former)

For Children Under 21

Name

Birthday

School Grade / College

Name

Birthday

School Grade / College

Name

Birthday

School Grade / College

I would like to receive information about:

PreschoolReligious School

To help you connect with other members, may we publish your family members’ names, children’s ages, town you live in and town you are from in our temple newsletter?

YesNo

Town(s) you are from:

Please select if any of these apply to you:

I am interested in joining Sisterhood. I understand annual dues are $25.00.I am interested in joining Brotherhood. I understand annual dues are $25.00.I would like to receive the Doorpost newsletter by mail (in addition to email) for an annual $25.00 fee.

I would like to be contacted confidentially to discuss a dues and/or tuition reduction.

I would like to be contacted confidentially to discuss a dues and/or tuition reduction.Please do not let a lack of ability to pay the full dues or tuition be a barrier to becoming a Temple Israel member or sending your children to our school. We offer dues and tuition reductions based on need.

Additional notes or questions:

Fri, April 26 2024 18 Nisan 5784