Temple Emanu-El || Annual Membership Commitment

Annual Financial Support

2024 ANNUAL FINANCIAL COMMITMENT FORM

Support our Temple family with your 2024 Annual Financial Commitment. Please assist us in keeping our records current by completing all sections of the form, even if we have your information on file from previous years, and kindly return by December 31, 2023. Should we not receive your form, we will assume no changes in your pledge payments for the coming year, and will continue to process your Annual Commitment payments for 2024 accordingly and will add the new Security Assessment as indicated below.

First Name:
Last Name:
Spouse Name:
Address:
City:
State:
Zip:
Email:
Phone:

If you have not fully paid your 2023 Annual Commitment, please note that payments are now due. If you are using this form for your 2023 payment, check the 2023 radio button below.
This is my commitment for: 2023 2024

My/Our 2024 Annual Financial Commitment is:		$
Annual Security Assessment (not optional) In addition to dues for all members age 40 and older:		$
Special 2024 Security Gift (optional) (10% of Annual Financial Commitment suggested, any amount appreciated)		$
My/Our Total Commitment:		$

Membership Types:
Please select your membership type from one of the boxes below:

	FAMILY: Household with Two Adults	INDIVIDUAL: One-Adult Household
SECURITY ASSESSMENT	$300	$150

TORAH CIRCLE
Tzedakah	> $18,000	> $9,000
Shalom	$10,000 - $17,999	$5,000 - $8,999
Simcha	$ 7,200 - $ 9,999	$3,600 - $4,999
Kavod	$ 5,400 - $ 7,199	$2,700 - $3,599
Beracha	$ 3,600 - $ 5,399	$2,000 - $2,699
Chai	$ 3,000 - $ 3,599	$1,750 - $1,999
STANDARD
Sustaining Commitment	$2,500	$1250
Out-of-State	$500	$500
Affiliate (Dual Commitment)	$500	$500

ACCOMMODATIONS	< $2,500	< $1,250
No one is denied membership because of financial hardship. A request may be made for commitment accommodations by contacting Monika Singletary, at [email protected] or (205) 933-8037, ext 213.

UNDER 40 YEARS – refers to the age of oldest person in the household on Dec 31, 2024 SECURITY ASSESSMENT – optional until 40 years of age

39 years	$2,500	$1,250
38 years	$1,500	$720
37 years	$750	$360
36 years & under	$36	$36

To continue, enter this security code in the box below:

Via PayPal
Note: A 3% processing fee will be added to your on-line PayPal payment.

OR

Please select your installment and payment options below

I/We pledge to pay this year’s Annual Commitment/Security Assessment as follows
(please check one):

Monthly - equal monthly payments, on the 15th of the month

Quarterly - equal quarterly payments, on the 15th Jan., April, July, & Oct.

One-time payment, specify preferred month for a reminder (by Oct 2024).

My/Our method of payment is (please check one):

Automatic Bank Draft (ACH) - Preferred method of payment.

Name on Account
Address:
City:
State:
Zip:
Routing Number:
Checking Account No.:
By checking this box you are authorizing Temple Emanu-El to perform an Automatic Bank Draft (ACH) as stated above.

Check - Please mail check to address below.

Stock - Contact Danielle Barnett, Director of Finance, at 205-933-8037 ext. 244 or [email protected] at the time you arrange a stock transfer so that we can help facilitate your gift.

Credit Card Payments - All credit card payments incur a 3% processing fee.

Credit Card Type: MasterCard VISA American Express Discover
Credit Card No.:
Security Code:
Expiration:
Name on Card:
	(Exactly as it appears on card)
By checking this box you are authorizing Temple Emanu-El to charge your credit card as stated above.

Your banking and credit card information is kept secure using SSL 256-bit encryption.

Send payments to:
Temple Emanu-El 2100 Highland Avenue So. Birmingham, AL 35205
If you have questions, please contact Danielle Barnett, our Accounting Manager, 205-933-8037 ext 244