2024/2025 Membership Recommitment Form

With completion of this form, you will indicate your intention to renew your commitment to Congregation Mishkan Or. We invite you to include membership support, security fee, and Learning fees on a shared payment plan. WE ARE HERE FOR YOU: If you are experiencing financial challenges, if membership dues are a strain at this time, reach out. Contact Allison Shippy, Director of Member Services, at [email protected]

Thank you for being a part of our congregational family! We value your commitment and participation in our community. If you would like to discuss your membership, explore new ways to engage, or otherwise want to connect, please contact Allison Shippy, Director of Membership Services, at [email protected] or 216-455-1703.

Please CLICK here to go to the Congregation Mishkan Or Recommitment Form

Member #1 Information (required)

* Member #1 First Name

* Member #1 Last Name

Member #1 Hebrew Name (if known)

* Mailing Address

* Member #1 Email

* Member #1 Cell Phone Number

Member #2 (if applicable)

Member #2 First Name

Member #2 Last Name

Member #2 Hebrew Name (if known)

Member #2 Email

Member #2 Cell Phone Number

Dues Payment Schedule (required)

We are pleased to offer you many payment options, including paying in full today, making a partial payment today with a payment plan, either monthly or quarterly.

Please enter your 4 digit account number from your statement if you know it.

* Please enter your total amount from your statement to be included in your payment schedule (dues, security fee, building fund). You can add on your Learning fees after registration after you have enrolled for the 2024-25 school year.

RECURRING PAYMENTS - I would like to schedule automatic recurring monthly or quarterly payments.

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

Increase the payment amount by 3% to cover credit card fees (No fee for Checking)

Comments

For added Security please check the box below.

Total:

2024/2025 Membership Recommitment Form

Member #1 Information (required)

Member #2 (if applicable)

Dues Payment Schedule (required)

Recurring Payment

Account Details

Payment Information

Credit Card

Checking Account

For added Security please check the box below.