Each new member is expect to make a pledge of $500 or more to the Temple Beth El building fund. For donations of over $1,000, a dedication may be specified.

Please print out this page, filling in your name, address and the date and return it to the Temple Office.

To help build a Temple and in consideration of the gifts of others, I hereby pledge* to the Building Fund of Temple Beth El the sum of:

_____________________________________ Dollars ($___________________)

To be paid:

____ In annual installments for ________ years.

____ In semi-annual installments for ________ years.

____ In quarterly installments for ________ years.

____ Or I will pay as follows _____________________

Enclosed is a check for $_________________ as first payment.

Signature: _______________________________________

Print Name: _______________________________________

Address: _______________________________________

Date: _______________________________________

*Minimum Pledge $500

Dedication Information**

This subscription is for the following memorial or dedicatory unit (fill on one or the other):

Given in MEMORY of: _______________________________________

or

Given in HONOR of: _______________________________________

By: _______________________________________

(The portion of this form below this line is for office use)

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