MEMBERSHIP APPLICATION

 

                                  Membership is $36.00 PER PERSON

                      (Please note membership criteria on next page) 

                                        Membership Information

 

Information as you would like it to appear in our Membership Directory

 

Name(s)  ________________________________________________________

                 ________________________________________________________

Local Address   ___________________________________________________

City  ________________________________  State  _____  Zip  ____________

Phone #’s   Home  ____________     Work ____________    Cell ____________

Her Email  _________________                His Email  ____________

 

Out of Town Address (if part time resident)  _____________________________

City  ________________________________  State  _____  Zip  ____________

Phone #’s   Home  ____________     Work ____________    Cell ____________

Her Email  _________________                 His Email  ____________

Indicate months you are usually in the Lowcountry  _______________________

 

A name badge is included in the price of membership

Name(s) as you would like them to appear on nametag(s) Also Indicate whether nametag is to be magnet-backed or pin-backed for each nametag ordered

   Name    _______________________________     Backing  _______________

   Name    _______________________________     Backing  _______________

   Name    _______________________________     Backing  _______________

   Name    _______________________________     Backing  _______________

 

Birthday(s)

   Name  ________________________________     Date _________________

   Name  ________________________________     Date _________________

   Name  ________________________________     Date _________________

   Name  ________________________________     Date _________________

 

Anniversary

   Name  ________________________________     Date _________________            

 

Yahrzeits of Loved Ones (list each)                        Use English and /or Hebrew

 

   Name  ________________________________     Date of Death  __________         

   Name  ________________________________     Date of Death  __________         

   Name  ________________________________     Date of Death  __________ 

   Name  ________________________________     Date of Death  __________

   Name  ________________________________     Date of Death  __________   

   Name  ________________________________     Date of Death  __________   

   Name  ________________________________     Date of Death  __________   

   Name  ________________________________     Date of Death  __________                                         

 

          Mishkan T’Filah, the Prayer Book we use is available in two editions.

               Shabbat Edition (1 ¾ lbs)  for  $35.00

               Complete Edition (2 ¾ lbs) for $38.00

               Neither edition includes the High Holidays

          _____ Shabbat Edition  @ $35.00 =  $________ 

          _____ Complete Edition @ $38.00 = $________

 

_____Gates of Repentance is our High Holiday Prayer Book. It is

           available @ $25.00 =$_________

 

Please indicate quantity of each and include total with payment

of $36 PER PERSON for membership

MEMBERSHIP REQUIREMENTS:

The Bylaws of Temple Oseh Shalom specify that its members be of

 Jewish faith or have a spouse or companion of the Jewish faith.

 

  _______________________

        Signature

 

Please send your completed Membership Application and check for dues

and prayer books to:

Temple Oseh Shalom

PO Box 3935

Bluffton, SC 29910

 

If you have any questions, please call

Rhoda Rubin 705-6000