New Membership Form

New Membership Form

New Membership Form
    • Please enter your name and preferred prefix/title
    • Please enter your name and preferred prefix/title
  • NameBirthdayHebrew Name (transliteration) 
  • NameRelationshipTel 
  • Please enter a number greater than or equal to 0.
  • This information is required in order to send reminder letters to you.
    English NameHebrew Name (transliteration)Relationship (eg. John's Mother)English Date of Death (dd/mm/yyyy)Hebrew Date of Death (dd/mm/yyyy) 
  • Am Shalom has many different committees or volunteer opportunities. Please indicate where you would like to volunteer or help out in any way:
  • Membership - Please choose either Single or Family membership (Single parents are single)
  • Note: this is an approximation allowing for 24 lessons of $60 each over the course of one year. The actual amount will be adjusted after the B'nai Mitzvah is completed.
  • Building Fund is a lifetime contribution of $1000 per single (includes single parent) or $1800 per family. Please enter what amount you would like to contribute this year. (Most members do $300-$600 a year). When your contribution is complete you will receive a leaf on our Tree of Life in the synagogue lobby.
  • This is a share support system for membership contributions. It is based on the concept that all shall give according to the blessing which has been given us. Note: we do not ask for any tax information from you, this is on a self-assessment basis. Please add the amount indicated in the chart below to make total dues about 2% of income.
  • $ 0.00 CAD
  • Please indicate whether you wish to pay in one lump sum or by 12 equal monthly payments. (Taken on the 15th of each month)
  • If you wish to pay by Credit Card please enter your credit card information (Name on card, Number and Expiry Date) here and then hit Submit. You may also send in one or 12 post-dated cheques, dated for the 15th of each month, if you prefer. Thank you.