Membership New Inquiry

Our Anshai Torah family is excited to welcome you! Please tell us a little about you by completing and submitting the inquiry form below. For questions, email or call Earl Bloom at executivedirector@anshaitorah.org or 972-473-7718.

Tell Us About Yourself

* First Name Adult One

* Last Name Adult One

* Mobile Phone Number Adult One

* Email Adult One

First Name Adult Two

Last Name Adult Two

Mobile Phone Number Adult Two

Email Address Adult Two

* Address Line 1

* City

* State

* Zip Code

* Date of Birth Adult One

Date of Birth Adult Two

* Marital Status

# children in your household

I am Jewish Adult One

I am Jewish Adult Two

Religious Traditions

(Orthodox, Conservative, Reform, Other)

Current Shul

Please list your current synagogue affiliation (name / location)

Years in Dallas

Please list the number of years that you have been in Dallas

Feedback

How did you hear about Anshai Torah?

Employer

Occupation

Work Phone

Skills & Talents

Do you have any special skills or talents that you would like to share?

Committee Interests

Committees

Please identify any areas of interest

Questions for Us

Questions

Please list any questions you would like addressed

Mon, June 9 2025 13 Sivan 5785

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