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Welcome to the Congregation Serving
the communities of Fairfield County and beyond since 1967
Home Newsletter (opens pdf file in new window) Members' Discussion Forum Discussion Forum Tutorial Invitation to Membership and High Holidays Membership Form Children's Sunday School Adult Ed Directions Other Links at bottom of page |
Congregation for Humanistic Judaism
MEMBERSHIP FORM
Last Name(s)____________________________ First Name(s)____________________
_____________________________ ____________________
Address____________________________________*Phone ( )_________________
City, State, Zip______________________________ *Email______________________
___ Two-adult Household $430
___ Single-adult Household $275 DUES $________
Each adult in the household, please specify Trimester 1, 2, or 3 for which you may be called upon to help with CHJ business or events. (If you do not specify, you will be assigned to the trimester where most needed.)
Name_____________________________________Tri___________________________
Name_____________________________________Tri___________________________
SUNDAY SCHOOL TUITION
Parents, please also fill out and mail
Sunday School Registration
Form and Release Form for
Sunday School Students
First child @ $400 (*Name & Birth Date) _____________________________________
Additionals @ $300(*Name(s) & Birth Date) _________________________________
___________________________________ ___________________________________
*May we list this information in the CHJ roster? ____Yes ___No TUITION $_______
BAR/BAT MITZVAH PROGRAM FEE $350 (due year of event) $_______
Please consider an additional tax-deductible
contribution to help support of our programs….
GENERAL DONATION $_______
SOCIAL ACTION DONATION $_______
TOTAL $_______
Please make your check payable to CHJ and mail to:
Phil Garrison (Treasurer), 47 Partrick Rd. Westport CT 06880
If installment or special payment consideration is needed, please contact Phil Garrison at 227-5389 or pgarrison37@yahoo.com.
