23/24 Membership and Mitzvah Pledge - Form - Temple Beth Sholom

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23/24 Membership and Mitzvah Pledge

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1) Name and preferred pronouns

2) Representing the following household members (names and preferred pronouns)

3) I have read through both the 23/24 Member Agreement

Click here to see the membership agreement

4) Our household agrees to the obligations and benefits of membership listed therein.

5) Meeting the operational needs of TBS in year 23/24 requires an average pledge of $2600 per member household. If you can pledge at that amount, please do. Pledging more goes a long way to supporting our community as some member households are unable to pledge at that level. As always, any pledge amount is appreciated and money is never a barrier to membership. We would like to make a sustaining pledge (mitzvah pledge) for the 23/24 year in the total amount of:

6) Pay frequency preferences

Please set up my account with a one time bill for the total yearly amountPlease set up my account to bill me monthlylease set up my account to bill me quarterlyOther, will list in notes

7) Billing method preference

I prefer to receive my bills online (default)I prefer to receive my bills via mail

8) Pay method preferences

I prefer to pay online via credit card or ACHI prefer to pay via check mailed to the temple

9) Autopay preferences

I do not want to set up autopayPlease contact me to set up autopay

10) Volunteer Preferences

My household plans to contribute at least 4 volunteer hours this yearMy household does not anticipate being able to volunteer this year and we are including and additional donation to our Mitzvah pledge in lieu of volunteeringMy household does not anticipate being able to volunteer this year and we are unable to make a donation in lieu of volunteer hours at this time.

Volunteer Interests

Green Team/ GardeningHoliday partiesBuilding/construction/handyperson projectsTikkun Olam- acts of serviceTikkun Olam- activism and advocacyChesed: errands/support tasks/meal drop off for members needing supportRitual prepCleaning/OrganizingAdmin tasksother

11) Notes (optional)

Mon, October 20 2025 28 Tishrei 5786

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