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2023 Annual Community Commitment and Affiliation Renewal

Please sign into your Congregant Portal Account before filling out this form. Your login name is your email we have on file. If you need a new password, please choose "Forgot Password," and create a new one. Once logged in, please click on the link for the renewal form.

If we are setting up Monthly recurring payments, choose "Bill to my Account" on payment page.  
If paying by check, please also choose "Bill to Account" on payment page.
If you choose Pay Now, it will charge your credit card on file in full.

If you need assistance, please email Rabbiassist@OurShirShalom.org. Thank you!
 
If you checked yes, please update the information above or contact the office with any changes.

Our Annual Community Commitment is based on the belief that we all share responsibility for the fiscal health of our sacred Congregation Shir Shalom community. We appreciate and rely on the financial commitment of each congregant. Therefore, we ask you to make your Standard Base Community Commitment so that we can continue to fulfill our mission, serve our congregants, maintain our synagogue home, and involve ourselves in community activities

We ask that congregants determine their level of support using the following considerations:
  • The Standard Base Community Commitment amount is a starting point for all congregants.
  • Certain “Allowances” (i.e., reductions) are available for congregants who meet specific criteria (1-Adult household, 1-Adult Senior household age 65+, 2-Adult Senior household both age 65+) and who determine that the standard base rate is too burdensome. 
  • Special Arrangements - Congregants who are unable to fulfill the Standard Base Community Commitment (adjusted for allowances, if applicable) may apply for a confidential special arrangement.
  • Incremental Community Commitment - Congregants with financial capacity to support our sacred community in amounts above the Standard Base Commitment are asked to consider making an incremental commitment. This enables us to equitably fund our annual activities.
We ask you to renew your affiliation and continue your support of our sacred community for 2023.
STANDARD AFFILIATION:
Base Community Commitment:  $3,712
Annual Security Fee:  $225     
Total:  $3,937
 
*Allowances from standard base rates:
2-Adult Senior household, both age 65+:  (- $1,550) = $2,162 due plus $225 Security Fee
1-Adult household (there is only 1 adult in household):  (- $1,784) = $1,928 due plus $225 Security Fee
1-Adult Senior household (only 1 adult in household, age 65+): (- $2,562) = $1,150 due plus $225 Security Fee

Out-of-Area Affiliation: (reside a minimum of 100 miles from the synagogue)
Out-of-Area: $330    
Out-of-Area-Sustaining: $900

Those requesting a Special Arrangement due to financial constraints, as noted above, should contact our Executive Director, Mark Block, (mblock@ourshirshalom.org) or David Moss, Chair SA Committee (ShirShalomSA@gmail.com).
For congregants with SA's that have been finalized, the adjustment for your SA will be reflected in your online account and you should not fill out this form.
Please Select Your Community Commitment Below.
As a reminder, all congregants are encouraged to use the standard $3712 as their Base Community Commitment amount, plus $225 Security Fee, and an Incremental Community Commitment if possible. Category Allowances and Special Arrangements are available for those that qualify and for whom the Standard Base Rate, with or without allowance, is too burdensome.

A 2.5% discount will be applied to this year's Community Commitment if paying by Check or Cash. Note: This discount will be reflected in Total below if select pay by check in drop down selection..
Out-of-Area memberships are excluded from this discount.

Amount Due with 2.5% discount applied for Check/Cash payment:
2-Adult Household/Standard Base affiliation: $3619.20 plus $225 Security Fee
2-Adult Household Senior (both age 65+): $2107.95 plus $225 Security Fee
1-Adult Household: $1879.80 plus $225 Security Fee
1-Adult Household Senior (age 65+): $1121.25 plus $225 Security Fee
Security Fee of $225 not subject to discount.

PLEASE NOTE WHEN CHOOSING AN ALLOWANCE:
--To choose the allowance for 2-Adult Senior household, both congregants must be age 65+.
--To choose the allowance for 1-Adult household there must be only one adult in the household; and, if applicable, their unmarried dependent children, under twenty-six (26) years of age. A second non-Jewish or non-participating adult within the household is a congregant for all purposes and therefore this allowance does not apply.
--Out-of-Area affiliation requires congregant reside a minimum of one hundred miles from the synagogue.

 
By selecting Paying by Check or Cash, the Total at the bottom of this form will reflect the 2.5% discount.
Please Select Your Community Commitment
Please Select Your Community Commitment
Please Use Drop Down Box Below to Select Security Fee
For Out-of-Area Memberships, please Select No Annual Security above.
If no selection is made, form will not submit. 
Incremental Community Commitment
Congregants with financial capacity to support our sacred community in amounts above the Standard Base Community Commitment are asked to please consider making an Incremental Community Commitment. This enables us to equitably fund our annual activities.

Suggested categories are:
Kehillah Circle                               up to $499
Mount Sinai Circle                        $500-$1000
Masada Circle                               $1100-$2500
Western Wall Circle                      $2600-$4000
Tower of David Circle                   $4100-$7500

Please use box below to record the amount of your Incremental Community Commitment for 2023.
Thank you!
Payment Arrangements
Congregation Shir Shalom offers payment arrangements.
Please indicate your payment method further below.

Notes: 
Payment in full is expected by January 15, 2023, unless you are enrolled in our credit/debit card Autopay Program.
  • A 2.5% discount will be applied to this year's Community Commitment if paying by Check or Cash. Please make this selection above if applicable.  
  • If paying with securities, email Mblock@OurShirShalom.org for instructions.     
  • If selecting Autopay Program, please ensure you have set up a debit or credit card in your congregant portal under “My Account”, Payment Methods, or call the Office with your preferred Credit/Debit Card information. 
  • Please indicate your preference for Monthly, Quarterly, or Semi-Annual payments below.
  • By choosing the AutoPay program, you are authorizing the synagogue to charge this card beginning January 2023. If there is a change to the Credit or Debit card to be used, please call the Office.
*If paying with a Credit/Debit Card in full today, after clicking "Submit" below, choose "Pay Now." 

IF PAYING BY CHECK OR SETTING UP AUTOMATIC CREDIT CARD PAYMENTS PLEASE CHOOSE "BILL TO MY ACCOUNT" ON PAYMENT PAGE.  YOU  MUST BE LOGGED INTO YOUR ACCOUNT WHILE FILLING OUT THIS FORM TO "BILL TO MY ACCOUNT."

By choosing PAY NOW on payment page, your credit card on file will be charged.
The 2.5 discount will be added in Total below if you selected Paying by check or Cash in drop down on top of form. 
  • If selecting the Autopay Program, please be sure you have set up a Debit or Credit Card in your congregant portal under “My Account,” "My Payment Methods". Your selection authorizes us to use this card to make payments for you beginning January 2023, or call the office with a preferred credit card.
Your Community Commitment, Security Fee and Incremental Community Commitment Amount will be added to your Account based on your selections.
Please review your above selections to confirm this Total Amount reflects your choices before hitting submit below.
If you chose paying by check/cash, the 2.5% adjustment will be reflected in this Total. Please choose "Bill to My Account" on payment page if paying by check or choosing recurring credit card option.  If "Bill to Account" is not an option, please login while filling out this form.
Thank you for supporting our sacred community at Congregation Shir Shalom.

IMPORTANT NOTE BEFORE HITTING SUBMIT:
Choosing "PAY NOW" on payment page will charge your credit card on file. 

If you are paying by check or setting up automatic payment plan, please hit "Submit" to go to PAYMENT PAGE and choose: BILL TO MY ACCOUNT. 
No need to do anything further online once you select "Bill to Account" on payment page and receive confirmation.

If you need help logging in, please email Rabbiassist@OurShirShalom.org. 
Sat, May 10 2025 12 Iyar 5785