Membership Record

Please fill out the member record and return it to Betsy Fitzwater at betsy@etzchaim.net or to our address below.

For a printable form, click here.  To fill out the Member Record online, click here.                 

It is the policy of Congregation Etz Chaim that no one is denied membership for financial reasons. If you cannot afford aspects of the fee schedule provided here or would like a monthly payment plan, please contact Marty Gilbert, our Executive Director.

You can send your membership record to us at: