The Jewish Congregation of New Paltz
DUES PLEDGE FORM 2008-2009
Name(s)______________________________________Telephone____________
DUES SCHEDULE
The annual dues pledge is based
on two components: a minimum membership fee (Section A) plus a suggested
additional amount based on household income (Section B) . Enter the minimum membership fee for your
family type in (A) and the household income additional amount in (B).
(Section
A)
- Minimum
Single Head of Household Membership $670
(Households
consisting of one adult, including any children)
- Minimum
Junior Family Membership $570
(Households consisting of two adults, including any
children. Both adults under 30 years of age)
- Minimum
Standard Family Membership $850
(Households consisting of two adults, including any
children. One or both adults
30 years of age or older)
- Minimum
Senior Membership $500
(Households
in which all members are 72 years of age or older)
(Section B)
Suggested Suggested (A)________________
Household Additional Household Additional Amount
from Section A
Income Amount Income Amount
40,000
– 44,999 $75.00 70,000 – 79,999 $550.00 (B)_______________
45,000
– 49,999 $125.00 80,000 – 89,999 $775.00 Amount
from Section B
50,000
– 59,999 $200.00 90,000 – 99,999 $875.00
60,000
– 69,999 $400.00 100,000 and over $1025.00 (C)_______________
Total Dues (A + B)
Hebrew School Tuition
(Section D)
Student’s
Name
Class Tuition
______________________ _________ ________
______________________ _________ ________ (D)_______________
Total Tuition
______________________ _________ ________ From
Section D worksheet
FINANCIAL
SUMMARY
(Section E)
Total
Dues and Tuition (C + D)
(E)_______________
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