23/24 Membership and Mitzvah Pledge - Form

1) Name and preferred pronouns

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

3) Have read through both the 23/24 membership letter from the President of the Board and the 23/24 Member Agreement

Click here to see the letter from the President Green
Click here to see the membership agreement

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

5) 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.

11) Notes (optional)