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Membership Application 2021

Welcome! We are so excited you've chosen to join our congregation. Please fill out the information below so we can make it official! Thank you so much.
Please note that at least one adult member of your household must be Jewish in order to apply for membership. If you are guardians of Jewish children, please contact the office for membership information.
(main contact)
(main contact)
(main contact)
Please select the number of adults in your household below and the fields for the application will populate for the adults. 
Please include your spouse / domestic partner, parents, and adult children living in your household.
Membership Application Information
Children - Please select the number of children who reside with you and fill out the information as it applies to each child. (children under 24)
Membership Application - Child Information
(ex: she/her, he/him, they/them)
(if it's Summer, put in the grade they will be in the coming Fall)

Yahrzeit Information: Please fill out the information below for whom you wish Yahrzeit (remembrance) notices sent:
(this field helps populate the amount of fields you will need below for each Yahrzeit)
Yahrzeit Information

2021 Dues Pledge/Payment - Please complete each section below:
How do I figure out my dues pledge?

Suggested minimum per year: $1,200 per family, $600 per retiree, $800 per single member, $800 per spouse / husband / wife retiree.

Suggested Dues Chart Based on Income:
Income Suggested Dues Pledge
0-$60,000 $1,200 or minimum
$60,000-$80,000 $1,200-$1,600
$80,000-$100,000 $2,000-$2,400
$120,000-$140,000 $2,400-$2,800
$140,000-$160,000 $2,800-$3,200
$160,000-$180,000 $3,200-$3,600
$180,000-$200,000 $3,600-$4,000
Over $200,000 2% of gross income
When you submit this form it will take you to a payment page. There, you can set up how you would like to divide your payments, fill in your credit card information, and make a first payment. If you are not ready to make a payment please give the office a call at 951-684-4511
Sun, December 5 2021 1 Tevet 5782