Brotherhood Membership Form 2025-2026 - Form

Brotherhood Membership Commitment for June 1, 2025 - May 31, 2026

* First Name

* Last Name

* Mobile

* Email

Number of Additional Members (5 max)

Please complete all fields for each additional member.

* First Name

* Last Name

Email (if have one)

Mobile (if have one)

* Age

* Relationship to Brotherhood Member

* I would like to receive text messages and reminders of Brotherhood events (Normal text messaging rates spply.)

Please Select OneYesNo

* I would like to receive the Brotherhood Newsletter.

Please Select OneYesNo

If you are paying by credit card, please complete the fields below. If you are paying with a check, please skip to the paying by check section.

I would like to make an additional donation to Brotherhood. (Please write in the amount.)

IF YOU ARE PAYING BY CREDIT CARD Total Amount (3% fees will automatically be added to credit cards once you submit the form)

If you are paying by check, please complete the sections below.

If you are sending in a check to the temple office, please total your membership level and any donation and send a check to Temple Shalom, 6930 Alpha Rd, Dallas, TX 75240. Please note Brotherhood membership 25-26 on your check.

I would like to make an additional donation to Brotherhood. (Please write in the amount.)