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2021 Beit Am New Membership Form

May 1, 2021 - April 30, 2022
Submit this electronic form or the printable form by or after May 1, 2021

Welcome to Beit Am! Please complete this form in its entirety as well as the dues commitment at the end.

Please list adults in your household who wish to be Beit Am members (Enter names as you would like them in the directory)
Adult #1
(Optional for newsletter birthday wishes)
Please list children living in the same household
Tell us about any Yahrzeits you wish to honor
Beit Am 2021-2022 Dues:

Everyone should complete this section, even if you have an “Auto Pay” method set up for dues!

Beit Am’s dues system allocates a portion of financial responsibility among our community members based on their household income. To ensure that dues levels are assessed on a fair and consistent basis for all members, we ask that you determine your dues based on 2% of your adjusted gross income. We also welcome dues that are greater than 2%!

(prorate as necessary)

Note: All dues are IRS-qualified charitable contributions


For budgeting it is preferred that the dues are paid in two equal installments. If this creates a hardship for you, you may pay what you are able for the first installment, and the balance on or before September 1, 2020.

By checking this box, and clicking on the submit button, you are acknowledging that the information on this form is correct.

Beit Am relies on your dues promise for the operating budget and appreciates your timely payments.

Beit Am believes that an inability to pay should never be a barrier to membership or education. If your financial circumstances require alternative arrangements, please contact the Office Administrator or the Treasurer to discuss in confidence dues assessment or payment arrangement.

Contact us by sending e-mail to The Beit Am Web Maven
To contact our office, send email to The Beit Am Office
To contact our Rabbi, send email to The Beit Am Rabbi
To contact the newsletter editor, send email to The Beit Am Newsletter Editor
Questions about the New Building? Email us.

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