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2022-2023 Membership Recommitment Form

As we move into our next membership year on July 1, we ask that you recommit to our congregation to ensure that The Temple remains strong for years to come. Our Temple Board of Directors recently unanimously approved an operating budget for the upcoming year with no increase in membership dues and only a small increase to our security fee. Remember, membership dues should never be a burden and we look to ensure that it is possible for everyone to be a part of our congregation, regardless of financial circumstances. To learn more, please reach out to Membership Director, Allison Shippy at 216-455-1703 or [email protected]. Thank you for your continued and valued membership in The Temple-Tifereth Israel.

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

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

I am/We are:

	Single
	Life Partners
	Divorced
	Widowed
	Married/Engaged (please enter date of marriage below, if married)

If Married, Date of Marriage

I would like to receive my copy of The Temple Times via:

	U.S.P.S. (snail mail)
	Save a stamp!We will retrieve an online version of The Temple Times at http://bit.ly/TTTITempleTimes

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)

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, TLC registration) $

We are pleased to offer you many payment options, including paying in full today, making a partial payment today with a payment plan, or simply indicating your membership recommitment and setting up a future payment schedule.

Choice 1 - I would like to pay my total dues amount in full today online using my credit card or direct withdrawal from my checking account.

Choice 2 - Deferred Payment or Mail a Check. I would like to recommit today but defer payment or I will send in a check

If sending in a check please mail it to: 26000 Shaker Blvd, Beachwood, OH, 44122

Choice 3 - Recurring Payments of either Monthly (up to 10 Payments) or Quarterly (up to 4 payments). Select Yes under RECURRING PAYMENTS below.

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

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

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

Total:

2022-2023 Membership Recommitment Form