PLEDGE FORM FOR TREE OF LIFE MEMBERSHIP DUES
SEPTEMBER 1, 2009 TO AUGUST 31, 2010
Name:
Address:
Phone:
E-mail: __________________________________________________________
The Tree of Life Congregation is a member of the Union for Reform Judaism and has adopted URJ's Fair Share System for recommending annual pledges for membership dues. On July 19, 1998, the dues guidelines below were adopted by the Board of Trustees:
Fair Share Dues Guidelines
Family income from all sources Membership Dues
0 to $ 20,000 ............................. $ 250 (minimum dues)
$ 20,001 to $ 40,000 ............................. 1.25 % of income………. [$251 - $500]
$ 40,001 to $ 75,000 ............................. 1.50 % of income………. [$600 - $1,125]
$ 75,001 to $100,000............................. 1.75 % of income………. [$1,313 - $1,750]
$100,001 to $150,000............................. 2.00 % of income……….[$2,000 -$3,000]
$150,001 and above ............................. 2.50 % of income………. [$3,750 - ]
Full time student ............................. $ 50
Shatil (ages 20-30)…………………. $72.
Actual 2008-09 pledge $_________
Fair Share Dues Pledge 2009-10: $_________
Other contributions (from page 2) $ _________
Total Pledge (2009-10) $ _________
Signature Date
Please complete the lines that apply:
I. Enclosed is the full payment for 2009-2010. OR
I (we) request the following payment plan:
II. Semiannual (due 1st of October, April) payments equal to half of total pledge:
III. Quarterly (due 1st of October, January, April, July) payments equal to 1/4 of total pledge:
IV. Monthly* (due 1st of each month) payments equal to 1/12 of total pledge:
Please make checks payable to Tree of Life Congregation. Mail to: Tree of Life Congregation
ATTN: Treasurer
P.O. Box791
Morgantown, WV 26507-0791
Page 2 Membership Pledge Your Name ________________________________
*Yizkor Memorials and Yahrzeits
Each year at the Yom Kippur Yizkor service, it is traditional that names of departed loved ones and special friends be read to the assembled congregation. All names on our memorial plaques will be read without additional notice. Please list below the names of those you wish to acknowledge at this service but whose names are not on the plaques. Note that if you do not send in the names, then they will not be read. In addition, please indicate the month and day of death, if known if you would like the name read for Yahrzeit on the closest Shabbat after the date. To ensure inclusion in the Yizkor service, please return this form at least two weeks prior to Yom Kippur. A contribution in memory of the departed is traditional and is requested if you want your loved ones’ names to be read.
Name______________________ Date of Death __________________ Contribution __________
Name______________________ Date of Death __________________ Contribution __________
Name______________________ Date of Death __________________ Contribution __________
Name______________________ Date of Death __________________ Contribution __________
Name______________________ Date of Death __________________ Contribution __________
Name______________________ Date of Death __________________ Contribution __________
*Honors and Other Gifts
Many wish to give additional gifts for specific purposes or to honor special persons or events. Please list the name or event and amount of contribution below.
Name/event___________________________ Fund____________________ Amount _________
Name/event___________________________ Fund____________________ Amount _________
Name/event___________________________ Fund____________________ Amount _________
Name/event___________________________ Fund____________________ Amount _________
Current funds: Building, Cantorial Services, Cemetery, Leadership, Library, Holocaust Education, Prayer Books, Rabbi Discretionary, Religious School, Social Service, General, and Torah Scroll Repair.
Total of all contributions from above $____________________________________
*Make checks payable to: Tree of Life Congregation, PO Box 791, Morgantown, WV 26507-0791
