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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

Please only include if other than Mr/Mrs/Ms

* First Name

Nickname

Middle Name

* Last Name

Gender

Pronouns

* Email Address

Cell

Birthdate

Last Name at Birth

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

Please only include if other than Mr/Mrs/Ms

First Name

Nickname

Middle Name

Last Name

Gender

Pronouns

Email Address

Cell

Birthdate

Last Name at Birth

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

CHILDREN

How many children do you have?

* First Name

Nickname

Middle Name

* Last Name

Gender

Pronoun

Date of Birth

Hebrew Name

YAHRZEITS

How many yahrzeits does your family observe?

* English Name of Deceased

Hebrew Name of Deceased

Gender of Deceased

Pronoun of deceased

* Date of Death

* Mourner in Family

* Relationship to Mourner

Cemetery

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

Thu, September 21 2023 6 Tishrei 5784

Mishkan Shalom - New Member 'Join' Form

ADULT 1 INFORMATION

ADULT 2 INFORMATION (IF NEEDED)

HOUSEHOLD INFORMATION

CHILDREN

YAHRZEITS

Contact Us: Office Hours:

Mishkan Shalom 9-4 Mon-Thurs; Fri by appointment

4101 Freeland Ave

Philadelphia PA 19128

215-508-0226