The Jewish Congregation of New
Paltz
Dues Pledge Form
Name(s)___________________________________________
Telephone____________
Street___________________________
City______________ State______ Zip________
DUES SCHEDULE
**
(Households
consisting of one adult, including any children)
(Households consisting of two adults, including any
children. Both adults under 30 years of age)
(Households consisting of two adults, including any children. One or both adults 30 years of age or older)
(Households
in which all members are 72 years of age or older)
** The annual dues pledge is based on two components: a
minimum membership fee (A) see above, plus a suggested additional amount based
on household income (B) see below. Enter
the minimum membership fee for your family type in (A) and the household income
additional amount in (B) at the right.
(B)
|
Household Income |
Suggested Additional Amount |
Household Income |
Suggested Additional Amount |
|
40,000 - 44,999 |
$75.00 |
70,000 - 79,999 |
$550.00 |
|
45,000 - 49,999 |
$125.00 |
80,000 - 89,999 |
$775.00 |
|
50,000 - 59,999 |
$200.00 |
90,000 - 99,999 |
$875.00 |
|
60,000 - 69,999 |
$400.00 |
100,000 and over |
$1025.00 |
Dues
and Financial Commitment
A. Minimum Dues (from “A” above) based on Schedule: __________________
B. Additional Amounts from “B” above
___________________
C. Hebrew School Tuition (see other form)
___________________
TOTAL: ____________________________ (sum of above)
* If you wish to discuss your financial commitment with the Dues
Committee, please contact Wendy Rudder at
Initial payment is due with this form by