Membership Application 2017-18

 
Beth Ami full logo

“A small temple with a big Heart!”

 

 

 

 

Beth Ami Temple Membership Application

Fields marked with a * are required.

First Name *  _______________________

Last Name *   _______________________

Address 1 *   _____________________________

Address 2 * ______________________________

City * _____________________________

State *  ____________________________

Zip Code * ___________________________

Phone * _____________________

Fax        _____________________

Email * _______________________

Please circle Membership Type: *    Family – $490.00/year     Single – $245.00/year

Commemorative Donation   _____________

Please mail membership application and check to Beth Ami Temple: 3014 E. Camelback Road #508, Phoenix, AZ  85016.

For further information, please contact our Temple Administrator at (602) 956-0805.

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