TEMPLE ADAS ISRAEL, SAG HARBOR, NEW YORK, 631-725-0904

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TEMPLE ADAS ISRAEL
SAG HARBOR NY 11963
MEMBERSHIP APPLICATION

I hereby apply for membership in TEMPLE ADAS ISRAEL, a Reform Jewish Congregation, and subscribe to the statement of purposes of the Temple as defined in its by-laws:

"To maintain a house of worship for persons of the Jewish faith; to provide spiritual guidance, moral and ethical teaching according to the faith of our Fathers and Mothers. to perpetuate the tradition of Jewish learning and culture, and to provide a center for the social life of the Jewish community"

Name

Name of Spouse

Names & Ages of Dependent Children

Address (Primary)

City

State

Zip

Phone

Fax

E-Mail

Address (Summer)

City

State

Zip

Phone

Fax

E-Mail

Type of Membership

Single........Annual Dues $300.00........Building Fund Commitment $500.00*
Family........Annual Dues $600.00........Building Fund Commitment $1000.00*

* Please note: The building commitment, either single or family, may be paid in full with the first dues or in FIVE equal annual payments, the first installment being payable with the initial dues payment. If the building find commitment is paid in full upon joining, the first years dues are automatically waived. Please make checks payable to: TEMPLE ADAS ISRAEL.

TEMPLE ADAS ISRAEL is affiliated with the union of AMERICAN HEBREW CONGREGATIONS

TEMPLE ADAS ISRAEL, P.O.Box 1378 Sag Harbor NY 11963 - 631-725-0904 - Fax 631-725-0429

New addition to help you get to know us www.templeadasisrael.org

Chair: Myra Peskowitz - 631-749-0580