Touro Synagogue

MEMBER A

Preferred Pronouns*

She/Her/Hers
He/Him/His
They/Them

Name*

Prefix First Last

Nickname Hebrew Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (cell)*

Phone (home)

Email Address*

Date of Birth*

Religious Affiliation*

Jewish
Not Jewish

Not Jewish*

I am currently practicing a different religion
I am not currently practicing any religion
I am a participant in Jewish Life

Previous Synagogue Affiliation

Previous Synagogue Commitments

Board Member
Committee Member
Religious School Teacher

Hebrew Background

Read Hebrew
Chant Torah
Speak Hebrew

Occupation

Employer

Phone (work)

Marital Status*

Single
Married
Partnered

Spouse/Partner*

First and Last Name Religious Affiliation

Anniversary

Would you like to add this spouse/partner to your membership?*

Yes
No

MEMBER B

Preferred Pronouns

She/Her/Hers
He/Him/His
They/Them

Name

Prefix First Last

Nickname Hebrew Name

Phone (cell)

Phone (home)

Email Address

Different Address for Member B?

Yes
No

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth

Previous Synagogue Affiliation

Previous Synagogue Commitments

Board Member
Committee Member
Religious School Teacher

Hebrew Background

Read Hebrew
Chant Torah
Speak Hebrew

Occupation

Employer

Phone (work)

YAHRZEIT INFORMATION

Name	Relationship to Member	Member A / Member B	Date of Death

FAMILY INFORMATION

Do you have children?*

Yes
No

Children Living at Home*

Name	M/F	Date of Birth	Secular School Name	School Grade	Email (if applicable)

Children Away from Home

Name	Age	Marital Status	Address	City/State	Zip

My children are not being raised Jewish

ADDITIONAL INFORMATION

Relatives in Congregation (not living in this household)

Name	Relationship

Are there any special needs in your family which we should be aware of?

If yes, please explain.

Please list any additional adults in your household:

Note: Adults over the age of 25 will not be added to your membership

VOLUNTEER OPPORTUNITIES

VOLUNTEER OPPORTUNITIES*

We believe the congregational membership at Touro is an opportunity for active spiritual, emotional and physical participation in the full life of our synagogue community. It is our sincerest hope and expressed desire that upon joining our congregation, you will commit to participate in the richness of this synagogue experience. We invite you to indicate below which areas may interest you. If you are interested in participating in an arena not listed below, we invite you to indicate that as well. Your active involvement in the life of this synagogue is important to us. You will strengthen our community and add richness to your own experiences here. A congregation member will contact you with more information on the areas below that are of interest to you. We welcome you and look forward to having you as a part of our invested community.

Other areas of interest:

Membership Directory

This directory would be made available to the entire congregation.

Please do not include our information in a printed membership directory

VOLUNTARY ANNUAL SUPPORT

Touro Synagogue operates on a Voluntary Annual Support System based on the projected budget for the fiscal year, which represents the actual annual operating cost per household. If each household were to support Touro at the same sustaining level, that amount would currently be $2,600. The $2,600 level is a guidance to help you determine an appropriate amount to give; it is our hope that those who can give more, will, in order to supplement those who cannot. And that those who cannot afford that level will give what they can - no questions asked. While the actual annual operating cost per household is $2,600, every contribution, no matter the size, is deeply meaningful and helps make it possible for Touro to be here for you. Everyone who requests membership at Touro Synagogue is welcome regardless of their financial ability.

PATRON CATEGORY

Amudim / Pillars: $15,000 +

Bonim / Builders: $10,000 - $14,999

Shomrim / Protectors: $5,000 - $9,999

Chaverim / Friends: $3,000 - $4,999

ANNUAL SUPPORT (Suggested Guidelines)

Sustainer: $2,600 annually

Chai Supporter: $1,800 annually

Ozrim / Helpers: $720-$1,799 annually

Student: $120 annually

Payment Information

Our fiscal year begins July 1st and ends June 30th. Your pledge made today will cover the 2021/2022 fiscal year. If you have questions about your pledge, please call the Touro office before submitting this form.

Your annual support pledge does not include tuition or fees for Yamim Yafim, Uptown Hebrew or B’nai Mitzvah; those will continue to be paid by the families utilizing them.

My voluntary annual support pledge for the remaining months of our 2021-2022 fiscal year which ends 06/30/2022 is:*

Our fiscal year begins July 1st and ends June 30th.

Anonymous Patron (Pledge of $3000+)

I/We wish to remain an anonymous Patron (Pledge of $3,000+)

Total

$0.00

Payment Options*

Please select one.

Credit Card*

Card Details

Cardholder Name

Touro Synagogue
4238 St. Charles Avenue
New Orleans, LA 70115

Recurring Contribution (Credit Card)

I (we) understand that the extended payment plan is offered as a convenience. Withdrawals for payment will occur on the 15th of the month, or the first business day that follows if the 15th lands on a weekend.

I (we) understand that the extended payment plan is offered as a convenience. Withdrawals for payment will occur on the 15th of the month, or the first business day that follows if the 15th lands on a weekend.

I (we) acknowledge that the origination of credit card charges must comply with the provisions of U.S. law.

How do you want your payment plan to be structured?*

Credit Card Info for Recurring Payments*

Cards Accepted: American Express, Discover, Master Card, and Visa.

A 3% processing fee will be charged.

Credit Card Number Cardholder Name Security Code Expiration MM/YY

Extended Payment Plan (ACH)

Bank Account Deductions

All debits returned by the bank for non-sufficient funds (NSF) are subject to a $25 administrative fee.

*
I (we) understand that the extended payment plan is offered as a convenience. Withdrawals for payment will occur on the 15th of the month, or the first business day that follows if the 15th lands on a weekend.

*
I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

I (we) hereby authorize Touro Synagogue to initiate electronic debit entries to my (our):*
I (we) hereby authorize Touro Synagogue to initiate electronic debit entries to my (our):
Checking Account
Savings Account

How do you want your payment plan to be structured?*

Banking Information*
Financial Institution City and State Account Number Routing Number

Please upload a photo of a voided check*
Max. file size: 100 MB.

Verification

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Membership Application