2023-2024 Membership Form

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MEMBERSHIP RATES

Age Household Dues

Up to 33 $600 annual donation ($50/mo)

34 – 69 $2,950 annual donation ($245.83/mo)

70 and over $1,500 annual donation ($125/mo)

Please select ageUp to 3334 - 6970 and over

If you would like to make an Honor donation, please select one of the categories below:

HONOR CATEGORIES
Supporting Member: add $500 in addition to applicable membership level
Sustaining Member: add $1,500 in addition to applicable membership level
Benefactor: add $3,000 or more in addition to applicable membership level
Champion: add $5,000 or more in addition to applicable membership level

Total Amount

I am unable to pay the Total Amount listed above and would like to apply for financial assistance. Please have the Treasurer or someone from the Financial Committee contact me.

(Even if you are requesting financial assistance, please make sure to have chosen your age category).

I will be paying by check

* First Name

* Last Name

* Phone

* Email

If you would like to help us cover some of our credit card fees, please check one of the boxes below, and the amount of this donation will be added to your total dues payment.

I would like to donate $18

I would like to donate $36

Grand Total

Thank you for your continued support of the Santa Monica Synagogue!

After clicking on the SUBMIT button below, you will be taken to a screen where you may either click the Credit Card button to pay your dues in full, or click the Bill to My Account button to set up a payment schedule.

Wed, May 8 2024 30 Nisan 5784