Become A Member Membership Registration Form Membership Category(Required)You can choose what kind of membership you would like: Individual, Family, Young Family, or Friend. “Young Family” is defined as families with at least one child age 0-5. Family and Young Family memberships provide up to two votes for Jewish adults in congregation elections, budget, and by-laws.Individual (1 Vote at Congregational Meetings)Family (Up to 2 Votes at Congregational Meetings)Young Family (Up to 2 Votes at Congregational Meetings)Associate/Friend (No Votes at Congregational Meetings)Contact InfoName(Required) First Last Pronouns Hebrew Name Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Would you like to share some/all of your info in our directory?(Required) Yes No Other Add a second adult to your membership?(Required) Yes No Second AdultSecond Adult Name(Required) First Last Second Adult Pronouns(Required) Second Adult Hebrew Name Second Adult Phone(Required)Second Adult Email(Required) Second Adult: Would you like to share some/all of your info in our directory?(Required) Yes No Other Personal InfoBirthday MM slash DD slash YYYY Second Adult Birthday MM slash DD slash YYYY Jewish BackgroundCheck all that apply Ashkenazi Indigenous-Heritage Jew Interfaith Heritage Jew Jew by Choice Jew of Color Mizrahi Non-Jewish Sephardic Prefer not to say Second Adult Jewish BackgroundCheck all that apply Ashkenazi Indigenous-Heritage Jew Interfaith Heritage Hew Jew by Choice Jew of Color Mizrahi Non-Jewish Sephardic Prefer not to say Any more to add?If you'd like to elaborate on your Jewish background, please share here. Second Adult - Any more to add?If you'd like to elaborate on your Jewish background, please share here. Religious BackgroundCheck all that apply Conservative Non-Jewish Orthodox Reconstructionist Reform Renewal Secular Second Adult Religious BackgroundCheck all that apply Conservative Non-Jewish Orthodox Reconstructionist Reform Renewal Secular AccessibilityWhat would allow you and/or family members use this space equally? Hearing Support Wheelchair / Mobility Suport Vision Support Other Other - please tell us more Jewish Experience(Required)Please describe your Jewish experience thus far and what you are looking for. Feel free to write about other communities you have been involved in, your spiritual practice, or ways of being involved in Jewish life.Add children to your membership?(Required) Yes No Children's InformationChild's NameDOBPronounsHebrew Name Add RemoveUse the "+" symbol to add additional rows for multiple children.Annual Membership DuesNew members receive a 50% discount for their first year of membership. The below figures include both dues and 10% building assessment.Individual Membership Dues(Required) Individual membership: $660 - $880 per year I would like to request an alternative amount that is more comfortable for my budget Family Membership Dues(Required) Family membership: $1,320 - $1,650 per year I would like to request an alternative amount that is more comfortable for my budget Young Family Membership Dues(Required) Young Family membership: $360 per year I would like to request an alternative amount that is more comfortable for my budget Associate/Friend Membership Dues(Required) Associate/Friend membership: $360-500 per year I would like to request an alternative amount that is more comfortable for my budget Request an Alternative Dues AmountIt is Temple policy to make membership accessible to all regardless of ability to pay. Please enter a yearly dues figure that fits your budget.Membership DepositDeposit Amount(Required)A deposit of $60 - $180 is required to process your membership. Please enter the amount you will deposit today. Payment TypePayment Type(Required)You can pay online or by check. Please note that online payments include the cost of the transaction fee charged by our payment processor. Online with a credit card Mail or drop check payable to: Temple Israel, 27 Pierce St, Greenfield, MA 01301 Processing Fee Amount(Required) Price: $0.00 Processing Fee Consent I agree to be charged the payment amount plus processing fees charged by the payment processor. I understand that if I do not want to pay processing fees, I may instead pay by check, cash, or EFT.Total Amount to be Charged: Credit CardCard Details Cardholder Name