Primary

Primary

Please select the current fiscal year from the above pull down.

Notices of Annual Congregational Meeting and/or Special Congregational Meeting are posted on the Ner Shalom Website at www.nershalomva.org and via the E-kibbitz electronic newsletter. Please select from above the choice if you would like to receive additional courtesy notifications for Congregational Meetings.

In accordance with the 2024-2025 Dues Schedule, my/our membership dues category for the current year is selected above.

I understand that if I am paying a discounted rate (that is anything lower than the full Regular membership fee of $2178.00) that does not release me from my obligations to meet any other membership obligations I may have to serve the congregation, including my contribution to the building fund, unless that obligation has also been waived due to my circumstances.

If I received a discounted rate due to financial circumstances in a prior year, I understand that it is my obligation to reapply for dues relief. Selecting that category means that I will receive an application for special category that must be granted by the committee - however, my request and/or grant for special category shall be confidential.

I also understand that if I resign my membership prior to the end of the year, that I remain obligated for the full dues for the current year unless by a vote of the CNS Board, I am formally relieved of that obligation.

Please select an option above.

I/we will remit the Dues and Building Fund payments in accordance with the above selected schedule. If payment is being made by check, I/we understand that I/we will not receive notices as to when to make payments, but will have my account paid in full according to the above selected schedule.

I/we wish to donate an additional sum in support of Ner Shalom by increasing our annual dues in the amount entered above. This amount will be remitted with our normal dues payment.

Signature / Print Name

Signature / Print Name