2025-2026 AssociateMembership Renewal

First Name

Last Name

Email Address

Phone Number

Membership Renewals

2025-2026 Associate Membership Commitment Amount

$1000$750$500Other (please enter below)

Other Amount

Billing and Payment Options

Billing Options (will begin July 1)

One PaymentSemi AnnuallyQuarterly

Payment Options

ACH (No fee)Credit Card (3% fee on all payments)Check, payable to Temple SinaiStock TransferAllocation from Philanthropic, Donor Advised Fund or RMD

ACH Authorization

Please visit www.templesinaiatlanta.org/renewal for the terms associate with paying via ACH. Your consent at the bottom of this page indicates your acceptance of these terms.

Bank Name

Routing Number

Account Number

Credit Card Authorization

Please note: all previously saved credit card data must be resubmitted

Name (as it appears on the card)

Credit Card Number

Expiration Date

Security Code

Billing Zip

Check, payable to Temple Sinai

Please mail checks to:
Temple Sinai
5645 Dupree Drive
Atlanta, GA 30327

Stock Transfer

Please share the following information with your broker and then email mharvey@templesinaiatlanta.org once you have initiated a stock transfer. Please include in your email the name of stock being transferred along with how many shares and how you would like it applied.

Charles Schwab Account
DTC # 0164
Temple Sinai account # 5328-5846

Allocation from Philanthropic, Donor Advised Fund or RMD

Please make sure your name and preferred allocation is detailed on the check.

I/we confirm that I/we meet the necessary requirements for an Associate Membership at Temple Sinai.

1) I/we have no children enrolled in Temple Sinai's religious school or B'nei Mitzvah program; and 2) I/we will remain members in good standing at another congregation in the Atlanta area (please list the congregation below) OR my/our principal residence is 75+ miles from Atlanta (list location below)

I would like to receive my statements via email only.

Please detail any additional comments or questions

By checking this box, I consent to the charges as detailed above.

Name(s)

Date

Contact Information