ADULT 1

ADULT 2

CHILDREN

Child 1

Child 2

Child 3

Child 4

ADDITIONAL INFORMATION

MEMBERSHIP CLASSIFICATION

Congregation Or VeShalom's fiscal year is from January 1 - December 31.
Applications submitted during periods shown below will be billed as follows:

July - September               
6 months' dues - 50% dues

October - December          
3 months' dues - 25% dues

DUES ARE PAYABLE UPON RECEIPT OF STATEMENT.

I understand that in addition to my dues, an obligation of membership includes a Building Fund Minimum Pledge of $500 payable over a five year period beginning the second year of membership.

PUBLICITY RELEASE
From time to time photos taken at programs or special events may be used in synagogue eblasts, on printed materials or in other advertisements for OVS.

SISTERHOOD