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Dues Commitment Form

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Dues Commitment Form

ALL MEMBERS OF THE JEWISH COMMUNITY OF AMHERST ARE REQUIRED TO FILL OUT A DUES FORM BY FEBRUARY 15th FOR EACH CALENDAR YEAR. WE NEED YOUR INFORMATION NOT ONLY TO MANAGE OUR BUDGET RESPONSIBLY BUT ALSO TO KEEP OUR DATA BASE UPDATED. THANK YOU FOR COMPLETING THIS FORM AND FOR MAKING YOUR DUES PAYMENTS IN A TIMELY MANNER. WE APPRECIATE YOUR COOPERATION.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
FAIR SHARE DUES
The JCA utilizes a progressive "Fair Share" dues system to express our values while ensuring the financial sustainability of our community. Our dues system utilizes five (5) income brackets to guide our members to determine their fair shares dues commitment. There is no requirement to furnish documentation in support of your income bracket, since our system is based on mutual trust. Levels are based on your household gross income from all sources before taxes, deductions or expenses. CHOOSE YOUR DUES LEVEL BELOW.
Dues Level*
- Household Income less than $40,000: DUES LEVEL $180.00
- Household Income $40,000-$79,000: DUES LEVEL $1,200.00
- Household Income $80,000-$119,000: DUES LEVEL $1,800.00
- Household Income $120,000-$159,000: DUES LEVEL $2,400.00
- Household Income more than $160,000: DUES LEVEL $3,000.00
OPTIONAL CONTRIBUTION
Consider making an additional gift to help ensure access to all members of the community.
Additional Gift Amount
NEW MEMBER DISCOUNT
You may be able to adjust your dues commitment depending on when you joined the JCA. New members who join January-June are eligible for a 50% discount on their dues in the first year of membership. New members who join July-December are eligible for a 75% discount on their dues in the first year of membership.
New Member Discount Amount
- 50%
- 75%
BUILDING FUND
New members are expected to contribute $1,000 towards the Building Fund in $200 increments over their first five years. You may pay the total in less time, if you prefer. Indicate the amount you are paying this year below.
Building Fund Amount
DUAL MEMBER DISCOUNT
If you are a dues paying member of another synagogue in addition to the JCA, you are eligible to pay 50% of the Fair Share dues indicated for your income category.
Are you Eligible for a Dual Member Discount?
- Yes
- No
Additional Synagogue Name and Location
SPECIAL CIRCUMSTANCES
Members who have special personal or financial circumstances should contact Ann Wetherbee, Administrative Director (admindir@jcamherst.org), or Rabbi Benjamin Weiner (rabbiweiner@jcamherst.org) for a confidential conversation.
New Member Discount
$0.00
New Member Discount
$0.00
Dual Member Discount
$0.00
PAYMENT OPTIONS*
- Full payment by check
- Payment by check divided over three months (February, May, & August)
- Automated Clearing House (ACH) debit plan of ten equal deductions (February - November) from my bank account
- Full payment by credit card
- Payment by credit card divided equally over ten months (February - November)
Will you help offset our credit card fees by making an additional donation?
- Yes, I will donate 2.9% plus $0.30
- Yes, I will donate an amount of my choosing
- No
Credit Card Offset
Price: $0.00
How much will you donate?
TOTAL COMMITMENT AMOUNT
Total Commitment Amount
$0.00

Jewish Community of Amherst
742 Main Street
Amherst, MA 01002
413-256-0160
info@jcamherst.org

MEMBERSHIP INFORMATION
Ann Wetherbee
Administrative Director
admindir@jcamherst.org

OFFICE HOURS
Monday: Closed
Tuesday, Wednesday & Thursday:
10:00 am – 4:00 pm
Friday: 10:00 am – 3:00 pm

Affiliated with Reconstructing Judaism

© TEXT Jewish Community of Amherst.

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