Temple Beth Shalom Dues Commitment Form

TEMPLE BETH SHALOM DUES COMMITTMENT FORM 2021-2022

We are all responsible for the financial health of our congregation. Dues contribute one-third of TBS's operating expenses.

Please give as generously as you can.

Dues are strictly confidential.

Please check the category that applies to your level of annual dues commitment:

Full family membership (couple with or without children) - $2350

Singles over 29 years old no children - $1685

Single parent with child(ren) - $1490

Part-time resident(s) of New Mexico - $1150

Singles 18-29 years old - $ 700

Full-time students (college or graduate school) through age 29 - No charge

Dues assistance requested (please see reverse)

Mitzvah Dues:

A number of our members have limited income and resources. My additional contribution of

allows Temple Beth Shalom to welcome everyone, regardless of means, for whom belonging to a Jewish community is important.

Enclosed is my/our first payment of

I/We will pay our membership pledge:

Monthly

Quarterly

Semi-annually

Annually

Your Signature

Yes I’d like to receive a complimentary Siddur so I can follow along during live & online services.

Other financial responsibilities:

Membership dues do not include your Building (Maintenance) Fund commitment or any additional fees owed for religious school, preschool or bar/bat mitzvah.

Please do not complete this page unless requesting a dues adjustment.

In requesting dues modification, please consider the needs of TBS to keep the lights on and the doors open. Dues are not a fee for service, but a commitment which ensures the continued existence of your Jewish home in Santa Fe. Dues contribute one-third of TBS's operating expenses.

My/Our circumstances do not allow me/us to pay full dues applicable to my/our membership category at this time and I/we request dues modification.
I/We will consider adding to this contribution in the future if my/our circumstances change.

Your Signature

I/We are able to pay in total for dues to Temple Beth Shalom for this fiscal year (July 1, 2021 -- June 30, 2022) in
(circle one) single / semi-annual / quarterly / monthly payments.

(Optional section. Only the executive director will see this form.)
I/We make this request because:

We value your membership, and no one is ever turned away for financial reasons. Dues are strictly confidential.

Please note: In order for the congregation to be fiscally responsible, dues are modified on a one-year basis. We ask that you complete this form if requesting a dues adjustment this year, even if you've had modified dues in the past.

TEMPLE BETH SHALOM DUES COMMITTMENT FORM 2021-2022

We are all responsible for the financial health of our congregation. Dues contribute one-third of TBS's operating expenses.

Mitzvah Dues:

Other financial responsibilities:​

My/Our circumstances do not allow me/us to pay full dues applicable to my/our membership category at this time and I/we request dues modification. I/We will consider adding to this contribution in the future if my/our circumstances change.