Touro Synagogue

MEMBER A

Member A*

Male
Female
Other

Other title

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*

Anniversary

Occupation

Employer

Phone (work)

JEWISH/HEBREW BACKGROUND

Previous Synagogue Affiliation

Board Member
Committee Member
Religious School Teacher

Hebrew Background

Read Hebrew
Chant Torah
Speak Hebrew

MEMBER B

Member B (spouse / partner)

Male
Female
Other

Other title

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

Anniversary

Occupation

Employer

Phone (work)

JEWISH/HEBREW BACKGROUND

Previous Synagogue Affiliation

Board Member
Committee Member
Religious School Teacher

Hebrew Background

Read Hebrew
Chant Torah
Speak Hebrew

Please do not include our information in the membership directory

YAHRZEIT INFORMATION

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

FAMILY INFORMATION

Children Living at Home

Name	M/F	Date of Birth	Grade (Secular School)	Grade (Religious School)	Cell Phone (if applicable)

Children Away from Home

Name	Age	Marital Status	Address	City/State	Zip

My children are not being raised Jewish

Relatives in Congregation (not living in this household)

Name	Relationship

ADDITIONAL INFORMATION

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

If yes, please explain.

Is there someone in your household who is not a member of our congregation?

Relationship

Jewish / Other?

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:

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

Ozrim / Helpers: $5,000 - $9,999

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

ANNUAL SUPPORT (Suggested Guidelines)

Sustainer: $2600 annually

Chai Supporter: $1800 annually

Student: $120 annually

Payment Information

Our fiscal year begins July 1st and ends June 30th. Your annual support pledge does not include tuition or fees for Religious School, Uptown Hebrew or B’nai Mitzvah; those will continue to be paid by the families utilizing them.

My voluntary annual support pledge for the 2018-2019 fiscal year covering July 2018 through June 2019 is:*

I/We wish to remain anonymous

Payment Options*

Please select one.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code 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):
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*

Membership Application

MEMBER A

JEWISH/HEBREW BACKGROUND

MEMBER B

JEWISH/HEBREW BACKGROUND

YAHRZEIT INFORMATION

FAMILY INFORMATION

ADDITIONAL INFORMATION

VOLUNTEER OPPORTUNITIES

VOLUNTARY ANNUAL SUPPORT

Payment Information

Recurring Contribution (Credit Card)

Extended Payment Plan (ACH)

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