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Friday, August 4, 7:45 PM
Traditional Sabbath Service
Led by Rabbi Stan Levin
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Hevrat Shalom Congregation - Dues

Please fill out the pledge form below.

2016/2017 Minimum Pledge schedule (Please pledge more if you can):
Note:  The following is a guide for minimum dues. Thankfully, most members generously pledge considerably more that the minimum guide according to their financial ability.

I. MINIMUM DUES: PLEDGE SCHEDULE

Under 35 Family $630.00 Single $430.00

35 - 61 Family $945.00 Single $535.00

62+ Family $740.00 Single $525.00

Ingleside Family $480.00 Single $340.00


*35% less for Ingleside residents


II. HIGH HOLIDAY SEATS: (Included)
Included with membership; Non-members may purchase tickets separately.


III. ONEG SPONSORSHIP/SPECIAL EVENTS:
Please indicate below a special event or memory for which you wish your sponsored Oneg to be acknowledged.

Event: Date:



IV. ADDITIONAL GIFTS AND/OR CONTRIBUTIONS (not required)
This is for special occasions such as birthdays and Yahrzeits to be acknowledged from the Bema and in our Newsletter.

AMOUNT:





V. SPECIAL ASSESSMENTS:
A special assessment of $100 per membership including members from Ingleside has been assessed for the 2016 – 2017 fiscal year beginning July 1, 2016.



VI. AMOUNT PLEDGED: 
equals the sum from Sections I, III, IV and V.


Hevrat Shalom Congregation will never turn away a member because of inability to pay.  Individuals with a special situation or financial hardship should request a confidential meeting.

VII PLEDGE:
I/we pledge dollars for membership dues for fiscal year 2016/2017 which begins on July 1st 2016. 
Payments will be made (check appropriately):
Annually: Semi-Annually: Quarterly:

Signature: Date:

 

Pledge donations may also be made through PayPal on our website here. Please use direct URL to go directly to the page to make payment.

Please make your check payable to Hevrat Shalom Congregation and mailed to the following address: 

Hevrat Shalom Congregation
Post Office Box 3606
Gaithersburg, MD 20878

I do I don't grant permission to Hevrat Shalom Congregation to list our name(s) in the annual membership directory. 

On behalf of Hevrat Shalom Congregation we thank you very much for your support.








   

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