2017-2018 Membership Pledge Form
By this pledge, I/we are making a financial commitment to Columbia Jewish Congregation for the fiscal year beginning July 1, 2017 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, 2017 and are living in the same household as their parents need not be counted.)
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Adult Member 2
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Adult Member 3
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Adult Member 4
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Mailing Address
Please include Street Address, City, St, Zip
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Primary Telephone Number
(xxx) xxx-xxxx Please note the red text will go away when a phone number is entered correctly
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Email Address, Adult Member 1
Please note the red text will go away when an email address is entered correctly
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Email Address, Adult Member 2
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Total Household Pledge Amount
(Reminder: the amount needed to sustain the congregation is an average of $1,270 per Adult Member.) Please note the red text will go away when a number is entered correctly.
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My/Our pledge will be paid as follows:
Signature
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Name of Adult Member submitting this pledge
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Date of this Pledge
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