Pay Initial Member Dues Online

*Must complete initial membership application before making an online payment.

Levels of Membership

  • Family / 2 adults /any children under age 26 living at home or in school = $1628
  • Family / part-time / live in Florida 6mos./yr. or less = $891
  • Single / adult / full time resident = $869
  • Single / adult / part-time / live in Florida 6mos/yr. or less =$445
  • Long Distance Virtual Member = $200

Dues: Please contact our Membership chairman, Peri Pantazes membership@!templebethshalomcc.org or 239-772-4555, for membership applications and information. For those who feel that they may not be able to pay full dues, please contact the temple President.

Membership Application

Membership Details

Choose your membership Level(Required)
I agree to contribute annual dues of at least of what I have selected below.
Desired Payment Schedule
Payment Method
MM slash DD slash YYYY
Name(s) of person(s) included in membership:(Required)
Click the (+) simple to add additional family members.
Full Name
Date of Birth
Jewish / Not Jewish
Place of Birth
Hebrew Name
Occupation or Previous
 
Name(Required)

Contact Information

Primary Address
I have a secondary address
Emergency Contact Info:

Yahrzeits Observed

List
Click the (+) simple to add additional family members.
Yahrzeits Observed - Full Name
Date
Relationship
 

Participation

I am willing to participate in the following voluntary activities:
Select all that apply.
Torah StudyChoirMovie NightZoom HostBook ClubWeekly ChatMah JonggBowling
Yes
No
LandscapingFood DriveConversionB' MitzvahRel. SchoolSisterhoodBrotherhood
Yes
No
Clear Signature
MM slash DD slash YYYY
Clear Signature
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.