Young Israel of Skokie
בס"ד
Payment Form 5777 / 2016-2017 Name: Please check all appropriate boxes Rate
Life Member
Total
$36,000
Pillar of Young Israel
$5,000
Sustaining member
$3,000
Family membership
$1,400
(50% off for First Year - $700)
Single membership
$700
(50% off for First Year - $350)
Associate membership
$300
(Does not include High Holiday seating or voting privileges)
Guest seats for out-of-town family or friends Guests
Babysitting
@ $150 each @ $10 per child per day @ $25 per child for all 3 days
Building Fund Obligation, Donations & Sponsorships Memorial Book (please attach form) Total Due
0.00
Method of Payment
Payment in full or
Checks Enclosed
3 Monthly Payments
Credit Card Payments o Discover o Visa o MasterCard
or
5 Monthly Payments
Card No. __________________________ Code _____ Exp. Date_____ /_____ Signature ___________________________________ Date __________________ For any other financial arrangement, please contact Steve Krinsky Phone 847-677-1291 (home) 847-677-8400 (work) or email
[email protected]