Temple Sinai New Member Application 2024-2025 - Form

208 Summit Avenue
Summit, NJ 07901

We are so happy you have made the decision to join Temple Sinai!

We look forward to sharing holidays, joyous occasions and opportunities for learning.

ADULT 1 INFORMATION

Adult 1 Title

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Date of Birth

* Home Street Address

* City

* State

* Zip Code

Home Phone Number

* Marital Status

* Adult 1 Email Address

* Adult 1 Cell Phone Number

* Adult 1 Occupation

Adult 1 Business Name

Adult 1 Business Phone Number

* Adult 1 Special Skills or Areas of Expertise

ADULT 2 INFORMATION

Adult 2 Title

Adult 2 First Name

Adult 2 Last Name

Adult 2 Date of Birth

Adult 2 Email Address

Adult 2 Cell Phone Number

Adult 2 Occupation

Adult 2 Business Phone Number

Adult 2 Business Name

* Adult 2 Special Skills or Areas of Expertise

FAMILY INFORMATION

Child 1 First Name

Child 1 Preferred Name

Child 1 Last Name

Child 1 Date of Birth

Child 1 Gender

Child 1 Grade

Child 2 First Name

Child 2 Preferred Name

Child 2 Last Name

Child 2 Date of Birth

Child 2 Gender

Child 2 Grade

Child 3 First Name

Child 3 Preferred Name

Child 3 Last Name

Child 3 Date of Birth

Child 3 Gender

Child 3 Grade

Child 4 First Name

Child 4 Preferred Name

Child 4 Last Name

Child 4 Date of Birth

Child 4 Gender

Child 4 Grade

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

YAHRZEIT INFORMATION
Please share the names of those whose yahrzeit you would like to observe.
We will notify you when your loved one will be remembered during the service.

Name of Yahrzeit 1

Relationship to Yahrzeit 1

Date of passing for Yahrzeit 1

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 2

Relationship to Yahrzeit 2

Date of passing for Yahrzeit 2

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 3

Relationship to Yahrzeit 3

Date of passing for Yahrzeit 3

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 4

Relationship to Yahrzeit 4

Date of passing for Yahrzeit 4

Observe on Hebrew or English Date?

EnglishHebrew

Please enroll me/my family in Temple Sinai’s membership for the year July 1, 2024 to June 30, 2025 in the following membership category:

Household Membership: Household where all partners are between the ages of 35-64: $3,140.Individual Membership: One adult between the ages of 35 - 64: $1,800.ECEP Membership: Household/individual with a child enrolled in the ECEP program. Membership dues will be covered through ECEP tuition (Maximum 4 years per family, available to new members only).Senior Household Membership: Household where any partner is age 65 or older: $1,815.Senior Individual Membership: Single adult age 65 or older: $1,110.Young Household Membership: Household where any partner is under age 35: $1,085.Young Individual Membership: One adult under age 35: $600.Long Distance Membership: Nearest residence > 50 miles away from Temple Sinai: $250.

All children under 26 are included in membership rates.

If you would like to request financial assistance, we can work with you in any situation. Please contact our Executive Director for a confidential conversation.

Payment Options
1 - Log onto your account and set up a payment plan by credit card or ACH.

If paying by credit card, a 3% credit card fee will be added.

2 - Set up auto payment via your personal online banking system and have checks sent to us monthly.

3 - Send us checks when you receive your monthly statement.*

* Please make checks payable to "Temple Sinai".

If you have any billing or payment related questions, please contact Farrell in the office.

* All members are charged a $175 security fee

The total Building Fund obligation for new members is $3000 payable over five years at $600 per year. The Building Fund obligation is required of all new members. It is deferred for members in category 3 and 8. It is waived for members who have already completed their Building Fund obligation to Temple Sinai or to another congregation affiliated with the URJ (verification required).

By signing this application, I/we agree to assume all financial obligations for dues, building fund, tuition, pledges, and assessments, as properly assessed by Temple Sinai of Summit.