CBH Membership Application

Adult Member #1:

* First Name:

* Last Name:

Pronouns:

* Address:

* City, State, Zip Code

Hebrew Name (if known/if given):

* Date of Birth:

* Email:

Telephone (H):

* Telephone (C):

Non-Member Spouse/Partner to be listed in the directory:

Adult Member #2 (if needed):

Last Name:

First Name:

Pronouns:

Hebrew Name (if known/if given):

Date of Birth:

Email:

Telephone (H):

Telephone (C):

Children Under Age 26 (included in your CBH Membership):

Child's Name:

Child's Hebrew Name (if known/if given):

Child's Date of Birth:

Child's Name:

Child's Hebrew Name (if known/if given):

Child's Date of Birth:

Child's Name:

Child's Hebrew Name (if known/if given):

Child's Date of Birth:

Child's Name:

Child's Hebrew Name (if known/if given):

Child's Date of Birth:

Membership Application:
Briefly tell us why you'd like to join Congregation Bet Haverim.

* Response:

Stay connected to our CBH community though our CBH Member-to-Member
Googlegroup:
A place where members share information ranging from upcoming events to interesting articles to professional referrals. This listserv is not used for official communication from the CBH office, though reminders are sometimes posted here.

Yes, Please add me to the Member-to-Member GooglegroupNo, Please do not add me to the Member-to-Member Googlegroup

MEMBERSHIP DUES

An example of suggested annual dues:

Annual Income	2.5% Annual	3.5% Annual	Monthly
Under $25,000	Minimum $450	$875	$37.50 - $72.92
$35,000	$875	$1225	$72.91 - $102.08
$50,000	$1,250	$1,750	$104.16 - $145.83
$75,000	$1,875	$2,625	$156.25 - $218.75
$100,000	$2,500	$3,500	$208.33 - $291.67
$135,000	$2,500	$3,375	$208.33 - $281.25
$150,000	$3,375	$5,250	$281.25 - $437.50
$175,000	$3,750	$6,125	$312.50 - $510.42
$200,000	$4,375	$7,000	$364.58 - $583.33
$250,000	$5,000	$8,750	$416.67 - $729.17
$300,000	$7,500	$10,500	$520.83 - $875
etc.

Dues paid by CBH members provide the financial foundation for our congregational life, represent the largest portion of our community budget, and allow our staff to focus on the spiritual life of the community rather than on fundraising. Please take into account the information below, review your current capacity to contribute, and enter your financial commitment for this year.

• Our basic operating expense divided evenly across all households of any size is approximately $2100. 51% of our households consist of two adult members, 49% of one adult member and just over 50% have children.

• Our membership dues requirement is built upon a “fair share” dues schedule, wherein we ask each household to contribute 2.5-3.5% of total adjusted gross income. Please continue to use this percentage as a starting point in thinking about what you can contribute. This system has allowed us to offer membership benefits to people in a diverse set of financial situations.

• Associate member dues, for those living outside the Atlanta Metro area OR for those who belong to another synagogue, is $450 annually.

• Student Membership – Dues for full time students is $216 ($18/month)

We understand that certain circumstances make it difficult or impossible to contribute 2.5-3.5% of income, while other circumstances may allow a larger contribution in a given year. We ask all members to give an amount that is significant to their household and represents a commitment to the community.

SECURITY FEES

All members will be charged an annual security fee. This money will go directly towards paying the fees of hiring security officers at all Shabbat and holiday services. The current annual fee is $180. This amount may be paid in full or in monthly payments.

No person is turned away from CBH due to financial hardship.

* I am applying as:

Regular Member: Entitles you to full voting privileges and the ability to serve on the Board.Associate Member: Available to individuals who either (a) live outside the greater Atlanta area or (b) live within the greater Atlanta area but hold regular membership in another recognized Atlanta-area synagogue. Does not include voting or Board leadershStudent Member: I am joining as a full-time student. I understand that a student membership is individual. The required copy of my current Student ID is included with this application.

I understand that CBH members are required to pay a $180 security fee once a year per household.

* How would you like to pay your dues? (Please select only one choice)

In a single payment by credit card (please select Credit/Debit Card - Operating Fund on payment page)In a single payment by check or alternative means (please select Bill to my Account on payment page)Monthly payments via credit card (please select Credit/Debit Card - Operating Fund on payment page)Monthly via check or alternative means (please select Bill to my Account on payment page)Quarterly, via credit card (please select Credit/Debit Card - Operating Fund on payment page) payments are due on the 1st of each quarterQuarterly, via check or alternative means (please select Bill to my Account on payment page) payments are due on the 1st of each quarter

My total dues for the year will be:

* The amount of my dues I am paying today is:

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