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 or arranging an ACH payment through the member portal, please complete the fields below. If you are paying with a check, please skip to the paying by check section.

Suggested donation for each additional member is $50. (Please write in the amount.)

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 or directing your bank to send a check directly to Temple, please complete the sections below.

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

Suggested donation for each additional member is $50.00. (Please write in the amount.)

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