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Membership Renewal and Fair Share Pledge Form

by David Diskin last modified 12-30-2014 10:58 AM

Please note: You cannot use PayPal or a credit card to pay dues, building fund, or 50th Mortgage fund pledges. To pay your pledge to these funds, please submit this form and mail a check to Temple Micah.

(Required)
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In dollars. Please omit $.
In dollars. Please omit $. We strongly encourage a $50 annual contribution to the Association of Reform Zionists in America
In dollars. Please omit $. We are asking that you add to your payment $120 toward the amount that Temple Micah pays per household each year to the Union of Reform Judaism.

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