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Beth Israel New Member Application


Personal Information

if applicable

ADULT 1
 
if applicable
 
if applicable

 

ADULT 2
 
if applicable
if applicable

 

Children Information
 

CHILD 1

CHILD 2

CHILD 3

CHILD 4

Yahrzeits
This information can be added later or at any time.  Once we have this information, then we will be able to send you reminders of when these dates are coming up.  

YAHRZEIT 1
if known
if known

YAHRZEIT 2
if known
if known

YAHRZEIT 3
if known
if known

YAHRZEIT 4
if known
if known

Annual Dues
Our annual dues structure is based on a "Fair Share" system.  We ask that you consider your annual contribution amount based on your household's ability to support the Shul.  Your pledge helps to cover weekly security costs, weekly Kiddush luncheon, the physical building upkeep, salaries for the Rabbi and other staff members, holiday and educational programming, and our High Holiday Cantor (to list a few).  

The following "Suggested Fair Share" chart is designed to be helpful:
Annual Income Suggested Percentage Annual Fair Share Contribution
$25,000 2-3% $500-$750
$50,000 3-4% $1500-$2000
$75,000 3-4% $2250-$3375
$100,000 3.5-5% $3500-$5,000
$150,000 3.5%-5% $5250-$7500
$200,000 4-5.5% $8,000-$11,000
Please put your pledge in the field below.  We will be in touch to set up a billing structure and help you set up your account in this system.
Building Fund
All new members are assessed a one time building fund charge of $950.00.  This amount is charged to your account in equal installments over a 6 year period.  If you wish to pay this off sooner, then please contact the office to make that arrangement.

Our fiscal year runs July 1 - June 30th.  Please indicate your pledge amount for the current fiscal year with these dates in mind.  You will be asked to renew your membership in the spring.

 
E-Signature

I am/We are interested in membership at Beth Israel Congregation and hereby submit this application. I/We agree to abide by the rules, regulations and by-laws of Beth Israel Congregation. 

Fri, April 25 2025 27 Nisan 5785