Bnai Shalom - Jews and Latter-day Saints, and Interested Friends all welcome.
Membership Application

No membership fee, no Obligation. Donations accepted. Gatherings twice a year. Infrequent email notifications or news.

Please open and read the Mission Statement, which your applying implies that you have read and support.
We are not part of the Church, but we support Church leaders and policies. Further Explanation

Below needed because:
(1) We need to know what region you are in, for planning regional activities.
(2) If emails change we can call you to get an update.
This data is private, not provided to anyone else.

Please use Upper-Lower case, NOT ALL UPPER.

First Name: *
Last Name: *
Address:
City: *
Two digit STATE + ZIP (or Province + Code)
PLEASE don't skip the state *

Country: (Choose from the list)

Area/Region:

(Chose the
one that fits
the best)


Home Phone ("landline" only): 

Cell Phone: *


Primary Email Address: * REQUIRED


Alternate Email Address

We send information by email only.
Please enter only personal email address, such as gmail, hotmail, msn, yahoo. Not employment/corporate, government, or LDS/BYU. You leave=address bad.


Interest (Control-click ANY that apply)

ANY Optional Comment, etc.

Your applying implies that you agree to support the B'nai Shalom Mission Statement.