Shared Sacred Commitment 2019-20 - New Members - Form - Congregation B'nai Jehoshua Beth Elohim

Welcome to BJBE! We are so glad you are joining our dynamic, welcoming community.

Below is the online form to make your annual Shared Sacred Partnership commitment at a level that is meaningful, that is affordable, and that will support BJBE’s needs.

Commitments from our members are critical to fulfilling our mission and supporting our five core values. We all belong at BJBE. We all have a stake in BJBE’s future. We are all BJBE Partners. We are counting on every household to consider a meaningful commitment to our Shared Sacred Partnership, and for current members, if at all possible, to increase your annual contribution over last year’s.

In gratitude for your exemplary support, Partners who commit at the $3,600 level and above will be recognized in the following categories unless anonymity is requested.

RECOGNITION LEVELS

Visionaries	$36,000+
Guardians	$18,000-$35,999
Pillars	$7,200-$17,999
Supporters	$5,400-$7,199
Anchors	$3,600-$5,399

* First Name

* Last Name

* Email

* Mobile

* Names of all members of your household

* My household's Shared Sacred Partnership Commitment for the 2019-2020 fiscal year is:

* Electronic Signature - please sign by typing your name:

This electronic signature shall be considered as an original signature for all purposes.
If applicable, by signing I am authorizing BJBE to charge my credit card or auto withdraw at the schedule indicated below for the entire balance on my account for the 2019-2020 year. If you have questions about your balance, please contact the office at 847.940.7575.

* I/We wish to be recognized anonymously

I/we wish to be listed in donor listings as:

* Payment Schedule 2019-2020

Please Select OneSingle Annual PaymentEqual monthly paymentsEqual quarterly payments (July-August/October/January/April)

* I/we will pay by:

Please Select OnePersonal checkCredit Card (Please note that this option will incur a 2.5% processing fee for VISA/MasterCard/Discover and 3.5% processing fee for American Express.)Automatic Deduction PlanDonation of stock or a mutual fundRequired Minimum Distribution from my IRA (relevant for those 70.5 years or up)

Credit Card Number

Expiration Date

CVV Number

Bank Name

Account Number

Routing Number

Please upload a picture of a voided check.

I will contact Larisa to learn how to use this option.

You may wish to make your commitment with stock or mutual funds which have appreciated (and which you have held onto for more than one year). You will receive a full charitable deduction for your gift, and also bypass the capital gains tax.

I will contact Larisa to learn how to use this option.

An IRA charitable contribution allows you to make a tax-free gift from your individual retirement account (IRA). Each year, individuals 70.5 years of age or older must take a required minimum distribution (RMD) from their IRAs. Typically, that distribution is taxed. If you meet the age requirement and are in a position to make a gift, you may transfer money directly from your IRA to Congregation BJBE 100% income tax-free. The maximum amount that can be transferred and excluded from your taxable income under this law is $100,000 annually. Note there is no charitable deduction for the gift but, the amount transferred can be counted toward your RMD.

Thank You! Your check can be:
Mailed to Congregation BJBE, 1201 Lake Cook Road, Deerfield, IL 60015
Dropped off c/o Anne Robbin at BJBE

New Member Supplement - Welcome to BJBE!

Adult Member A

Adult Member B

* Title A

Title B

* First Name A

First Name B

* Last Name A

Last Name B

* Preferred Name/Nickname A

Preferred Name/Nickname B

Hebrew Name A (if known)

Hebrew Name B (if known)

Home Phone A

Home Phone B

* Mobile Phone A

Mobile Phone B

* Email A

Email B

* Address

* City

* State

* Zip

Second Address (if applicable) including City, State, Zip

Dates at Second Address (if applicable)

* Birthdate A

Birthdate B

Anniversary Date (if married)

Religious Tradition in Which You Were Raised A

Religious Tradition in Which You Were Raised B

Previous Affiliation A

Previous Affiliation B

Occupation/Title A

Occupation/Title B

Place of Employment A

Place of Employment B

Business Phone A

Business Phone B

Please list any relatives who are members of Congregation BJBE and their relationship to you:

* How many children live in your household?

Child 1 Name

Child 1 Nickname

Child 1 Age

Child 1 Birthdate

Child 1 Gender

Child 1 School Grade

Child 2 Name

Child 2 Nickname

Child 2 Age

Child 2 Birthdate

Child 2 Gender

Child 2 School Grade

Child 3 Name

Child 3 Nickname

Child 3 Age

Child 3 Birthdate

Child 3 Gender

Child 3 School Grade

Child 4 Name

Child 4 Nickname

Child 4 Age

Child 4 Birthdate

Child 4 Gender

Child 4 School Grade

Yahrzeit 1 Name

Yahrzeit 1 Relationship

Yahrzeit 1 Date of Death

Yahrzeit 2 Name

Yahrzeit 2 Relationship

Yahrzeit 2 Date of Death

Yahrzeit 3 Name

Yahrzeit 3 Relationship

Yahrzeit 3 Date of Death

Yahrzeit 4 Name

Yahrzeit 4 Relationship

Yahrzeit 4 Date of Death

Yahrzeit 5 Name

Yahrzeit 5 Relationship

Yahrzeit 5 Date of Death

Yahrzeit 6 Name

Yahrzeit 6 Relationship

Yahrzeit 6 Date of Death

If you have more loved ones to be remembered, please contact Caryn Blomquist at cblomquist@bjbe.org or 846.940.7575.

Which anniversary would you prefer your loved one remembered on?

SecularHebrew

Please upload a family photo to complete your application (or email one to arobbin@bjbe.org)

Shared Sacred Commitment 2019-20 - New Members

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