Beit Ahavah Membership Form 2022-23 ~ 5783

Beit Ahavah Partnership Form 2023-24 ~ 5784

Please complete this two-page form to renew or become a Partner with Beit Ahavah as we nourish the soul, heal the world and make sacred community. Welcome!
Name*

First NameLast Name
Pronouns
I am a:*

New PartnerReturning Partner
Name(s) if there are others in your household (please include ages if listing children):
Write N/A if you are the only member in your household.
Email(s)*
Please separate multiple email addresses with commas.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Getting involved ~ Share your talents as a Leader, Volunteer, or Committee member and bring your ideas and hopes for community, events, music, Shabbat, holidays, youth, families, teens, adult programs and learning, Torah study, Tzedek Tzedek/Justice and Chesed/Caring, social, and more.*

Yes, I am interested in learning more about leadership, volunteer or committee opportunities.At this time, I am not interested in volunteering or serving on a committee.
All Partners receive community announcements, Highlights newsletter and other updates:*

I currently receive the Highlights and community announcements.Yes, I would like to receive the Highlights and community emails. Please use the email addresses provided.Yes, I would like to receive the Highlights, but with a different or additional email than what is provided.I am not interested in receiving the Highlights at this time.

Please write in your Dues amount below. *
Please enter in the format of $0/month or $0/year.

"Gift of the Heart" Dues Commitment

You are a Partner in building Beit Ahavah.

The Fiscal Year begins July 1, 2023 - June 30, 2024. Partnership dues are set as a suggested range to accomodate different households' circumstances and abilities, and so finances are not an obstable to community Partnership.

Partners who can afford to offer your Gift at the top level, or higher than the suggested range below, are encouraged to do so in order offset those who cannot, and so that we can continue to offer this new model.

Please contribute what you can to sustain and strengthen the congregation. You can choose to pay your Gift annually or monthly, or at a sustaining annual/monthly renewing amount (save time on forms next year).

Category	Suggested Range
First Year (New Partners)	$1080-$1980
Second Year and Renewing Partners	$1350-$2340
Multiple Affiliation (already paying dues to another synagogue)	$720-$1980
Student and/or Limited Income	$54-$540

Beit Ahavah welcomes all community members, regardless of ability to pay. Your Partnership contribution is a vital investment enabling programs, services, rabbinic leadership, staff and operating costs. Payments and additional contributions to Beit Ahavah are 100% tax-deductible. Please select a preferences for your Gift of the Heart commitment below.*

Contribute Annual amount in FULL (via PayPal or check)Contribute Monthly (pay monthly amount; via PayPal or via ACH bank to bank monthly transfer)
Please confirm your preferred payment method: (Note - Sustaining partner payments will continue until you tell us to stop them.)*
prevnext( X )
Become a Sustaining Monthly Partner (pay monthly)(USD for each month)
This payment will renew automatically each MONTH.

Become a Sustaining Annual Partner(USD for each year)
This payment will renew automatically each YEAR.

One-time Annual Partnership Payment(USD one-time payment)
This payment will NOT renew automatically. *PayPal will call this a "subscription" as a one-time payment.*

Become a Sustaining Partner by Check or Bank Transfer( $ Free for each month)
Mail checks to Beit Ahavah, 130 Pine St, Florence, MA 01062. If you need a different payment option or to receive the automatic transfer form, contact the temple office.
I authorize Beit Ahavah to initiate payments using the selected method/account for the amounts listed on this form (either monthly or yearly). This authority will remain in effect until I cancel the preauthorized payment, which requires at least five (5) days written notice to the Beit Ahavah Treasurer before the next payment.*

I understand and agree.
You will be redirected to Paypal after clicking the submission button below. Please remain on the page to complete payment.
Thank you for being a Partner in building the Beit Ahavah community. Welcome!
Should be Empty:

Beit Ahavah Partnership Form 2023-24 ~ 5784