Membership Pledge 2025-2026 - Form - Temple Beth Ahm Yisrael

Annual Membership Pledge Form 2025-26
Together at TBAY!

Dear TBAY Friends-

Thank you for your commitment to TBAY. Please submit this form by June 15 to make your pledge. You may also pay your pledge on June 15. Automatic payments will begin July 1.

Please select a membership pledge amount below. We encourage you to pledge the sustaining amount, which is the annual donation each membership unit needs to contribute to achieve a balanced budget. For fiscal year 2025-26, the sustaining amount is $2,910. If you are not able to give the sustaining amount, we encourage a meaningful pledge. Any questions? Contact Jackie Baranoff at execdirector@tbaynj.org or 973-376-0539 x13.

* Last Name

* First Name

* Phone Number

* Email

* Your Annual Membership Pledge 2025-26:

Please Select OneSustaining ($2,910)Builder ($3,600) - will receive recognitionPillar ($5,000) - will receive recognitionYour Thoughtful & Heartfelt Pledge

Please Enter Your Thoughtful & Heartfelt Pledge:

If you have any questions, please contact our Executive Director Jackie Baranoff at 973-376-0539 x13.

Total Amount Pledged for 2025-26:

* Your Payment Schedule

Please Select OneFull Payment by 9/1/2025Equal PaymentsOther

Enter # of months for equal payment plan (max of 9)

Optional note regarding payment schedule

* Select your Payment Method:

Please Select OneI/we will send a check(s)Please debit my checking account automatically (ACH) on the 10th of each monthPlease charge my credit card automatically on the 10th of each month (3% fee applied)

ACH PAYMENT INFORMATION
(Direct Debit from your bank account - 3% fee does not apply)

If your information is on file, we can set this up. If your information is not on file, the office will reach out to you. DO NOT type in your entire account number.

Name as it appears on your bank account:

Bank Name

Bank Account Number - LAST4 DIGITS ONLY

If your ShulCloud Account is not already set up for ACH, the office will contact you.

Type of Account:

Please Select OneCheckingSavings

CREDIT CARD PAYMENT INFORMATION (3% FEE)
If your information is on file, we can set this up easily. If your information is not on file, the office will reach out to you. DO NOT type in your entire account number.

Name as it appears on your credit card:

Credit Card Number - LAST 4 DIGITS ONLY

If your ShulCloud Account is not already set up for this credit card, the office will contact you.

Expiration Date

Please check:I will honor my pledge and promise to make the payment(s) as noted above.

Please check:I understand I will be charged an additional $300 for Security Fees (unless already paid through the Early Childhood Program).

Any questions or comments, enter below: