Join Us

Membership Worksheet

5772 (2011-2012)

Name________________________

Please complete both sides of this card and

return with your payment or payment commitment to:

B'nai Vail Congregation

19 Vail Road

Vail, CO 81657

Membership (circle one) $_________

Pillars

Diamond $5,000 Emerald $2,500

Ruby $1,800 Sapphire $1,300

Family

$760 (includes all children who live at home)

Single 30 & Over $360 Under 30 $36

Associate $450

(in the Vail Valley four months or less per year)

Supporters $118

(does not include High Holiday tickets)

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It is not encumbent upon you to complete the work, but neither are you at liberty to avoid it

– Pirke avot

Participation Mitzvah

Please contact me by phone _______________ or email ________________________________

I would like to participate in the following ways:

(circle choices). Please include me on a list of potential chesed volunteers. If able & available, I would gladly:

Prepare food Provide transportation

Visit Someone Be a part of a minyan

Total Due to B’nai Vail $__________________

Method of Payment (please circle one)

I/we have enclosed a check for $____________

I authorize my credit card to be charged $_____

Full payment Quarterly Monthly

Card Number __________________ Exp.______

Billing Address ___________________________

Signature _______________________________

Contributors of any amount will receive a letter acknowledging their tax deductible gift. (Our community will not exclude anyone on the basis of financial capacity. If you are unable to pay sustaining membership dues or tuition, obtain a fair-share form from Jeanne Whitney in the B’nai Vail office at 970 477-2992 or admin@bnaivail.org. We ask that you honor this confidential process and commit at whatever level you are able.)

Member Information Form

5772 (2011/2012)

Current members fill out ONLY if information needs updating

First Name______________________________

Last Name______________________________

Email__________________________________

Cellular_________________________________

DOB____________________________ M F

First Name______________________________

Last Name______________________________

Email__________________________________

Cellular_________________________________

DOB____________________________ M F

First Name______________________________

Last Name______________________________

Email__________________________________

Cellular_________________________________

DOB__________Relation___________ M F

First Name______________________________

Last Name______________________________

Email__________________________________

Cellular_________________________________

DOB__________Relation___________ M F

First Name______________________________

Last Name______________________________

Email__________________________________

Cellular_________________________________

DOB__________Relation___________ M F

(Submit additional names on separate sheet as needed)

Address Information

Local Address___________________________

______________________________________

Home Phone___________________________

Mailing Address (if different)_______________

______________________________________

Alternate Address (if applicable)____________

______________________________________

Yarhzeit

5772 (2011-2012)

So long as we live, they too shall live,

for they are now a part of us,

as we remember them.

-Sylvan Kamens & Jack Reimer

Please return this card with the names you would like added to our database. B’nai Vail sends monthly Yarhzeit notices based on the Hebrew calendar so you’ll know the appropriate time for observance for your departed loved ones.

Please add Hebrew name, date of passing and relationship of your departed loved ones if it is new information or if you have a correction.