2022-2023 Membership Pledge Form

"*" indicates required fields

By this pledge, I/we are making a financial commitment to Columbia Jewish Congregation for the fiscal year beginning July 1, 2022 and requesting to be included among the membership of the Congregation, with all rights of membership. This pledge is submitted on behalf of the adults in our household, who are named below. (Children who will be under age 26 as of July 1, 2022 and are living in the same household as their parents, need not be counted.)

Adult Member #1*

Adult Member #2

Adult Member #3

Adult Member #4

Mailing Address*

Street Address City State ZIP Code

Primary Telephone Number*

Email Address, Adult Member 1*

Email Address, Adult Member 2

Email Address, Adult Member 3

Email Address, Adult Member 4

Reminder, you can edit your account information online in our new Member Portal by clicking Member Login in the upper right corner of our website www.columbiajewish.org.

Pledge Information

Wherever you are in your journey, there is a pledge level for you:*

Sharing your good fortune to help CJC grow and help others: $1800 (or more) per adult member

Ensuring CJC's health and vibrancy: $1500 (or more) per adult member

SUSTAINING AMOUNT: $1335 per adult member

It has been a hard year: $1000 (or less) per adult member

Total Household Pledge Amount*

(Reminder: the amount needed to sustain the congregation is an average of $1335 per Adult Member.)

My/Our pledge will be paid as follows:*

in a lump sum by September 1, 2022

1/2 by September 1, 2022 and 1/2 by March 1, 2023

in four equal quarterly payments (July, October, January, April)

in 12 equal monthly payments beginning July 1, 2022

Signature*

By checking this box I/we agree to pay the pledged amount above according to the payment option checked above.

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