Annual Support Payments (Dues, etc.)

Your annual support helps ensure that membership is available to all who seek to join our community regardless of their circumstances.

Please enter the appropriate amount for each category below.

Member Annual Support Commitment (Dues) $

Facility Upkeep Fee $

Religious School Fees and Tuition $

Women of Beth Shalom $

Mens Club $

Other Amount. Please explain in comments below $

PLEASE NOTE, WE ACCEPT VISA, MASTERCARD, and DISCOVER CARDS AND ELECTRONIC CHECKS.

Please retain the receipt for your records. Thank You For Your Payment!

*E-mail

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Please increase the payment amount by 3% to cover the cost of credit card fees (No fee for Checking)

Total: