Congregation for Humanistic Judaism MEMBERSHIP 2007-08 Last Name(s)____________________________ First Name(s)____________________ _____________________________ ____________________ Address____________________________________*Phone ( )_________________ City, State, Zip______________________________ *Email______________________ ___ Two-adult Household $400 ___ Single-adult Household $260 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 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… DONATION $___________ TOTAL $_______ Please make your check payable to CHJ and mail to: Dana Preis (Treasurer), 65 Cedar Hill Road, Easton, CT 06612 If installment or special payment consideration is needed, please contact Dana Preis (treasurer) at treasurer@humanisticjews.org. All such communications are held in strict confidence.
|