The Brit (Covenant) - Or Ami's Membership Form

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If you prefer, you can print out and mail in a paper version of our membership form to 9400 Huguenot Road Richmond, VA 23235 along with a paper check or online payment.

https://drive.google.com/file/d/12C9HNzwNuyE0NxqjgoGfmyyhrJSVDtld/view?usp=sharing

Member Name(s) *

Street Address *

City, State, and Zipcode *

Home Phone Number (Write "N/A" if not applicable.) *

Cell Phone Number 1 (Please specify whose cell phone number it is if there is more than one cell phone in your household. Write "N/A" if you do not have a cell phone.) *

Cell Phone Number 2 (Please specify whose cell phone number it is if there is more than one cell phone in your household. Write "N/A" if there is not a second cell phone in your household.) *

Email Address 1 (Please specify whose email address it is.) *

Email Address 2 (Please specify whose email address it is.) *

This year I would like to be involved in Congregation Or Ami by: *

Attending Shabbat and holiday services

Attending adult education classes and programs

Volunteering with a team/committee

Volunteering for a special project

Participating in social activities

Supporting my child/grandchild's education through the Religious School

Other:

Required

Do you have any suggestions for other activities you would like to lead or participate in at Or Ami? *

If you are married, what is the date of your wedding anniversary?

YYYY

Please list the names and birthdates of each member of your household following this format: "Samuel Green (July 18, 1968); Hannah Green (October 5, 1970)" *

Please list the names, relationship to you, and yahrzeit (anniversary date of their death) of loved ones you wish to have remembered at Or Ami, using the following format: "David Green, father of Samuel Green (February 10, 1990); Rachel Silver, mother of Hannah Green (April 27, 2014)"

For this year, Or Ami's budgeted expenses are $1,786 per member family. Suggested dues are listed below by household category. If committing to the suggested amount causes you financial hardship, please pledge an amount that you will be able to fulfill.

What is your membership pledge? *

Single under 35 -- $55/month or $660/year

Family under 35 -- $83.50/month or $1000/year

Single 35 and older -- $100/month or $1,200/year

Family 35 and older -- $137.50/month or $1,650/year

Other:

What commitment can you make to our Building Fund to help defray the cost of major capital improvements? *

Specialized Funds at Or Ami

EMERGENCY FUND - Defray the cost of unplanned emergency repairs

RELIGIOUS SCHOOL SCHOLARSHIP FUND - Provide whole or partial scholarships for families in need so that their children may attend the Or Ami Religious School; to honor the memories of Clara and David Sack and Margarete Hirsch

SOCIAL ACTION FUND - Enable Or Ami members the ability to engage in projects to help the community through service and advocacy

RABBI'S DISCRETIONARY FUND - Used at the Rabbi’s discretion to enhance the mission of the congregation

OATY (youth group) SCHOLARSHIP FUND - Support OATY members to attend and participate in local, regional, and/or national events; to honor the memory of Suzi Burnside

MUSIC FUND - Acquire music and audio-related equipment to enhance services and special events

REFURBISHMENT FUND - Implement improvements to the building and grounds not covered by the budget; to honor the memory of Herold Hofheimer

GENERAL FUND - Help meet ongoing expenses for general operation of synagogue

RELIGIOUS SCHOOL FUND (not scholarship) - Enrich programs/activities or other needs related to the Religious School; includes Suzi Burnside Arts & Crafts Fund

TORAH FUND - Purchase and/or repair Judaic objects to enhance services and festivals

Would you like to make a donation to another special fund at the synagogue? (Please list the designation and amount.) *

What is your total pledge amount including dues, building fund, and any other donations? *

What is your payment schedule preference? *

Lump sum - due July 1

Semi-annually - due July 1 and January 1

Quarterly - due July 1, October 1, January 1, and April 1

Monthly - due on the first day of each month

I/We, __________________, as members of Congregation Or Ami, pledge to make the above financial commitment to support the congregation in fulfilling its mission. We understand the benefits of membership in a Kehillah Kedoshah are enhanced not only by our financial commitment, but by our being committed to and involved in the activities of the congregation as well.

Type your name(s) to effectively sign and agree to the pledge statement above. *

If you would like to pay online, please visit:

www.or-ami.com or https://www.paypal.com/donate/?cmd=_s-xclick&hosted_button_id=4YMAD3CXBYGYL&source=url

Thank you!

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