Membership Dues Adjustment Request Form

* First Name

* Last Name

* Has your personal information changed in the past 12 months?

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* Email

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Membership Dues Reduction

Our policy is not to deny membership based on financial need. Please note that Dues Reductions do not roll over from year to year and must be requested annually. If you would like to be considered for a dues reduction please select your membership category indicate your request for dues adjustment. Please know your information will be kept private and confidential and is only for a select executive finance group to review.

Dues Adjustment

Reason for Requesting Dues Adjustment

Please enter your annual household income

Bonai Shalom is a membership organization that strives to provide outstanding programming, religious services, learning, and kiddush. Our congregation works hard to ensure that no one is turned away due to financial hardship; however, we are limited in the reductions we can provide, as the funds come from the contributions of others in our small community.

We have researched and selected the “fair share” dues model for reductions, which is based on household income. When requesting adjustments, we ask that you please consider the value of Bonai Shalom in your life, as it compares to elective expenses such as streaming services and gym memberships.

In order to be eligible for High Holiday tickets, you must have an approved payment plan in place and have paid 25% of your total dues by September 1st.

* Please indicate how much you can contribute towards dues?

We will follow up with a phone call to better understand your situation and discuss.

Building Fund

We’ve been working hard to be good stewards of our properties! New members of CBS have assessed a one-time Building Fund fee of $3,300, typically paid over six years at $550 per year. If you have been a member for less than six years your building fund contribution this year is $550. We request members on Dues Reduction to pay at least $120 annually towards the full fees.

Building Fund Adjusted Payment

If you still have an outstanding balance on your Building Fund Fee, and you have requested dues adjustments you will automatically be billed minimum $10 per month for your building fund contribution. If you want to enter a higher amount, you may do so as well.

Security Fee

CBS acknowledges the need for security to provide access and ensure safety for all. Therefore, a fee will be assessed. Dues Reduction can not be given for the fee.

Payment Schedule & Method Selection

It is CBS policy that if you are on adjusted dues/tuition you must have monthly payments set up via auto pay by ACH or Credit Card. Please help save CBS money and consider paying your dues by ACH (automatic withdrawal from your bank account)!
To be eligible for High Holiday Tickets, at least 25% of your dues and fees and any unpaid prior-year dues and tuition balances must be received (or a payment plan in place) by September 1st

* Is your payment method on file?

Please Select OneContinue to use the method I currently have on fileBy ACHBy Credit CardBy CheckBy Stock TransferIf you continue to charge the card/account we have on file, please select the first choice. If you are changing your payment method please log into your account and add or change your payment method. If you need assistance please contact April at april@bonaishalom.org

Fri, April 26 2024 18 Nisan 5784