2017-18 Temple Sinai Membership Application

Thank you for your interest in Temple Sinai. This application is to help us get to know you so that we can better serve you and help you become a member of our community and Temple family.

A full copy of this application will be emailed to you for your records after you hit the submit button on the last page of the form.

All information provided is private and will not be shared with anyone without your written permission. This form is used by our Membership Committee when presenting new members to the Board of Trustees.

If you prefer to fill out the application OFFLINE and mail it to Temple Sinai instead, CLICK HERE to download a PDF version of the form. Then, print it and fill it out by hand. Send the completed form to Temple Sinai, 3405 Gulling Road, Reno, NV 89503.
TEMPLE SINAI MEMBERSHIP FORM
Family Contact Info
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Is your Mailing Address the same?*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone*
Area code + Phone No.
Primary Email*
Used for billing statements.
Preferred Method of Contact*

PhoneEmailOther
May we add your family to the Temple Directory?*

Yes, add to directory.No, don't add me.

Marital Status
What is your Marital Status?*

SingleMarriedLife PartneredDivorcedWidowed
Anniversary Date (if applicable)

MonthDayYear
Family Salutation*
Used as the greetings in letters after the 'Dear...'

How Did You Find Temple Sinai?
Feedback
We're always open to feedback to our reach and availability to our community. Your input is greatly appreciated.
We have many committees in our Temple Sinai Community so please be sure to check out our website (SinaiReno.org/Committees), inquire of our Board members and congregant members at any time, or send inquiries to Membership@SinaiReno.org. We look forward to your involvement and participation.
Committee/Volunteer Interests

Yahrzeits
Do you have any Yahrzeits to list?*

YesNo
Please list those Yahrzeits you wish to be remembered:*

Your Membership Commitment
Please select your ANNUAL level of giving:*

L’dor v’dor (From Generation to Generation): $3,600 ($300/mo)Mezin (Sustaining): $1,800 ($150/mo)Mana (Helping) "Single/Single Parent or 65+ Older": $1,200 ($100/mo)Maskil (Senior Single) "65+ single": $900 ($75/mo)First Year Intro. Level "New Members, First Year Only": $550 ($45.83/mo)Out-of-Area Memb. -- More than 100 miles from Sinai: $180 ($15/mo)Student Level (18-26yrs) -- Must be enrolled in one or more university or trade school classes): $36 (or $18 in 2 payments)Other
Membership Contribution Information

Please select the category above that best reflects your current situation. If you’re able to contribute more than your suggested level, you’re welcome to indicate your desired pledge amount in the "Other" field.

If you are unable to contribute at or above your suggested level, please reach out confidentially to Temple Sinai’s Financial Officer, Michael Cohen, at CFO@SinaiReno.org or (626) 354-4841 to discuss an arrangement that works for you.

Temple Sinai’s membership year runs from July 1 through June 30. If you’re joining mid-year, your initial pledge will be prorated to match the remaining months. A new annual pledge will be requested at the start of each fiscal year.
Please choose your payment option:*
For 'Student Level' memberships, please only select 'Annually' as your payment option. You may pay your $36 membership in 2 payments of $18 each, if necessary.
Amount Each Billing
Member A's Signature*
Member B's Signature
Comments

Your First Payment & Submit Application

If possible, please make your first payment when you submit this application.
Your First Payment Options*

Pay today ONLINE via Credit CardSend or bring a Check or Cash to Temple Sinai ASAP
You selected to make your membership payments {billingOption} in the amount of ${amountEach} each.

ONLINE Payment
First Payment*
Enter the amount you wish to pay today.
Convenience Fee
A 3% convenience fee is added to all online payments.
Sub Total
First payment + convenience fee

Credit Card Details

USDToday's Payment

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Collapse Stop
Should be Empty:

TEMPLE SINAI MEMBERSHIP FORM

Family Contact Info

Member A

Member B

Marital Status

Children Residing with You

1st Child

2nd Child

3rd Child

4th Child

Other Persons Residing with You

1st Other Person

2nd Other Person

How Did You Find Temple Sinai?

Yahrzeits

Your Membership Commitment

Your First Payment & Submit Application