Beth Elders Membership Form 2024-2025

Welcome to the Beth Elders of Temple Beth El where we come together for fun social and cultural events.

To join Beth Elders or to continue your membership, please complete the following application. For more information about Beth Elders, contact Elaine Brockman, President at 248-417-9020 or at dbrockman37@att.net.

For assistance with this form, contact Nicole Jahr, Director of Community Engagement at 248-865-0623 or njahr@tbeonline.org.

First Name(s)

Last Name

* Primary Phone Number

* Address

* City

* State

* Zip Code

Please choose your membership group:

Beth Elders Member: $18.00 (each meal and event will be an additional nominal charge)Premium Single Membership: $75.00 (includes all events and meals at no additional charge)Premium Couple Membership: $115.00 (for two people in the same household and includes all events and meals at no additional charge)Friends of Beth Elders Membership: $100.00 (includes all events, excludes meals)

Is there an additional donation amount you would like to add to your total?

Additional donations go to the Howard and Celia Jacobson Memorial Fund for the Beth Elders.

Interest Questions:

I would be interested in serving on the Board of Beth Elders.I would be open to participating in online programming.

Electronic Signature:

Entering your full name authorizes Beth Elders to collect dues for membership in our affiliate group.

Total amount for Beth Elders 2024-2025

Fri, October 18 2024 16 Tishrei 5785