Join Form - Mishkan Shalom

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Mishkan Shalom - New Member 'Join' Form

Consistent with our values we ask that each household study and understand our Statement of Principles, agree to support our Brit HaMishkan, then make an informed decision of which Membership Commitment Level best reflects your ability to support our community through annual fully self-assessed financial commitment.

To meet the needs of all who wish to deepen their connection and commitment to Mishkan Shalom in the covenant of membership, we have a set of membership options. We suggest that you review those options to assist you in self-assessing your commitment level.

* I have read and support the Mishkan Shalom Statement of Principles (linked above).

I have read and support the Mishkan Shalom Statement of Principles (linked above).

* I have read and agree to participate in the Brit HaMishkan as part of the Covenant of Membership (linked above).

I have read and agree to participate in the Brit HaMishkan as part of the Covenant of Membership (linked above).

* I have reviewed the self-assessed membership dues information and once I have submitted by membership form below and receive the Mishkan Shalom annual pledge and payment form, will follow up with my financial commitment.

I have reviewed the self-assessed membership dues information and once I have submitted by membership form below and receive the Mishkan Shalom annual pledge and payment form, will follow up with my financial commitment.

ADULT 1 INFORMATION

Title

* First Name

Middle Name

* Last Name

Pronoun(s)

* Email Address

* Phone Number

* Birthdate

Previous Last Name (if applicable)

Hebrew Name

Parent 1 Hebrew Name

Parent 2 Hebrew Name

Business Name

Occupation

Business Phone

Special Skills or Areas of Expertise

ADULT 2 INFORMATION (IF NEEDED)

Title

First Name

Middle Name

Last Name

Pronoun(s)

Email Address

Phone Number

Birthdate

Previous Last Name (if applicable)

Hebrew Name

Parent 1 Hebrew Name

Parent 2 Hebrew Name

Business Name

Occupation

Business Phone

Special Skills or Areas of Expertise

HOUSEHOLD INFORMATION

* Home Street Address

* City

* State

* Zip Code

Home Phone Number

Marital Status

Anniversary

I have children that I plan on enrolling in the Congregational School

Is there anything else you would like to share with us?

Fri, May 9 2025 11 Iyar 5785

CONTACT US
Mishkan Shalom, 4101 Freeland Ave., Philadelphia, PA 19128 | 215-508-0226

OFFICE HOURS
Monday through Thursday, 9 a.m. to 4 p.m.; Friday, by appointment.

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