Page 8 - CKA July 2017 TAMMUZ — AV 5777

I,
be $
Check one:
Annually $ Semi-Annually $
, con rm that my 2017-201 total pledge dues will , + $55 for a oneg and I shall make payments:
I would like to make an addi onal pledge of $
(circle one) and would like it billed ini ally e ually with my dues (circle one).
per payment per payment
uarterly $ Monthly $
per payment per payment
Jan Herson Fund
I also understand that my charges will be adjusted to re ect any Religious/Hebrew school tui on and fund contribu on pledges. This pledge will be paid by: Check or Credit Card
Credit card users: I have provided my credit card informa on on the enclosed credit card authoriza on form to the o ce with my authoriza on for charging my credit card automa cally for the above charges. (A 3 convenience fee for use of credit cards to cover our costs and further support Kol Ami will be added to the credit card charge (please use the credit card authori a on form).
Member signature Date
Please ini al box if you would like automa c renewal for the future. This will allow Congrega on Kol Ami to renew your membership yearly for the same membership category you sign up for this year. (i.e. Chai member, Congrega onal Member). Please note the dues amount is subject to change each year. ou may cancel or adjust at any me by contac ng accounts@jewishvancouverusa.org or Call 360.8 6.8088.
Holiday Volunteer Sign p
Each holiday and fes val creates a tradi on and a strong community for all CKA members but it also takes an en re community
for the
eneral Fund
Ini al Here
to ensure their success. Please sign up to bring a food item as well as help to set up
clean up for one of these events.
Purim Carnival
2nd Night Seder—set up/clean up Erev Shavuot
Shavuot Con rma on
Gradua on Service
S’lichot
Erev Rosh Hashanah Rosh Hashanah unch 2nd Day Rosh Hashanah Sukkot
pdate Contact Informa on
Please update your contact informa on: Member 1 email:
Member 2 email:
Simchat Torah atke Fest
Moo Shu Shabbat Tu B’Shevat Purim Shpiel
pdate any changes to address, phone numbers, etc
Return completed form to: Congrega on Kol Ami, 7800 NE 11 th Street, Vancouver, WA 8662