Wufoo

Name of Congregation *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Number of Member Households
1) This dues form reflects a decision by

A description of the section goes here.
Choose all that apply. *
Rabbi President Treasurer Head administrator/executive director Executive committee Board Congregational meeting
2) We choose the following dues category:

1. Determine your congregation’s budgeted annual expenses for the fiscal year that includes September 2023 and enter this number in “budgeted expenses.” You may exclude from your annual expenses capital expenditures, such as for a new building or renovation, but please include routine repairs and maintenance. Please attach either a copy of your budget or a budget summary with this form.
2. Locate the number associated with your membership level and enter it on the line for “dues factor.”
3.Multiply your budgeted expenses by the dues factor to calculate your annual dues.
Budgeted expenses * $ Dollars . Cents
You may exclude from your annual expenses capital expenditures, such as for a new building or renovation, but please include routine repairs and maintenance. Please attach either a copy of your budget or a budget summary with this form.
Dues category:
Enter - Dues factor = .01 (1% of your budget), with a minimum dues payment of $360 Engage - Dues factor = .015 (1.5% of your budget) Invest (Standard) - Dues factor = .02 (2% of your budget), with a minimum dues payment of $3,000

Choose your dues factor.
Dues factor *

Enter the dues factor you picked above.
Annual Dues * $ Dollars . Cents
Multiply your budgeted expenses by your dues factor to calculate your annual dues.
3) Pick your payment schedule

Dues must be paid in full by August 31, 2024.
We would like to plan our payments according to the following schedule: *
One annual payment Two annual payments Four quarterly payments Monthly payments
We're paying this amount today: $ Dollars . Cents
Enter the amount you are choosing to pay today upon completing this form. If you are not paying your first payment now, please put "0" in this box.
First payment date MM / DD / YYYY
Second payment date MM / DD / YYYY
Third payment date MM / DD / YYYY
Fourth payment date MM / DD / YYYY
Annual payment date MM / DD / YYYY
Would you like us to send you invoice(s)?
Yes No
Payments will be made by: *
Check (made out to Reconstructing Judaism) Credit card

If you choose to pay by credit card, you will be directed to a payment page after submitting this form.
If we have questions about your payment, who should we contact? First Last
Email
Phone Number ### - ### - ####
Additional Documents

You may also email these documents to JWeinberg@ReconstructingJudaism.org.
Please upload your budget or budget summary for the fiscal year that includes September 2023.

If necessary, you may email the file to JWeinberg@ReconstructingJudaism.org or mail it to Reconstructing Judaism, 1299 Church Road, Wyncote PA 19095.
Please upload your membership information, including emails, as a spreadsheet.

If necessary, you may email the file to JWeinberg@ReconstructingJudaism.org or mail it to Reconstructing Judaism, 1299 Church Road, Wyncote PA 19095.
Please upload your staff/officers list with updates or corrections.

If necessary, you may email the file to JWeinberg@ReconstructingJudaism.org or mail it to Reconstructing Judaism, 1299 Church Road, Wyncote PA 19095.
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Wufoo

1) This dues form reflects a decision by

2) We choose the following dues category:

3) Pick your payment schedule

Additional Documents