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Member Community Commitment Pledge Form
First Name(s)(*)
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e.g. Ben and Rebecca
Last Name(*)
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email address(*)
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Street address(*)
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Zip code
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Member Community Commitment option that works best for you:(*)

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*The amount paid last year was sent to you in a personal communication, and includes Dues, Chai Donation, and Capital Improvement Fund.
My commitment for the year(*)
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I would like to be a member of ARZA
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Association of Reform Zionists of America.
For more information, see
Enter $50.00 ARZA dues
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My Total commitment for the year
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Public recognition
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Members pledging at the sustaining level or higher or who have increased their commitment from the prior year may be honored publicly with their names (without specific pledge amounts).
Preferred payment schedule:(*)
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Quarterly payments due
July 15, Oct 15, Jan 15, April 15
Monthly payments due on the 15th of each month beginning July 15th
Preferred payment method:(*)

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Transfer from a bank account saves BHT the
service fee associated with credit card payments.

Mail check by July 15th to Beth Hillel Temple
6050 Eighth Ave. Kenosha, WI 53143
Fields marked with * are required.
Beth Hillel Temple Photo Release Form

With this form, your permission is requested for photos of you and your family members to be published in Beth Hillel Temple’s newsletters, web site and other publicity materials so that we may celebrate and publicize our congregation and its activities.

Temple policy dictates that when children are the primary subject of the photo, even if prior parental permission has been obtained on registration forms, an extra step of notifying parents to let them know that we are considering using their child’s photo will be undertaken.

When adults are featured and easily identified (i.e., they are the main or only subject of the picture), we will have their permission prior to publication of their photo and name in the caption of materials publicly accessible. Names will not be associated with any pictures posted on Facebook and pictures will not be tagged.

Group shots, silhouettes, long-distance views, and other photos in which individual children are not identifiable do not require permission for publishing on the web.

Personal addresses, e-mails and phone numbers of members will not be posted on the public portion of the website.

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May FOOD OF THE MONTH: canned or dried beans

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