Temple Beth Shira Membership Dues
Membership Dues (Check all that apply)
*
New Member - Year 1 (Single) - $180
New Membe - Year 1 (Household) - $360
New Member - Year 2 (Single) - $280
New Member - Year 2 (Household) - $560
Renewing Member (Single) - $380
Renewing member (Household) - $760
Men's Club - $50
Sisterhood - $40
Singles Group - $25
Invoice Number
Total Amount Being Paid (Donation):
Adult 1 Name
*
First Name
Last Name
Adult 2 Name
First Name
Last Name
Additional Donation
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Calculated Donation
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E-mail
*
Donation
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