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	Member Billing Information
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	Type of Payment Being Made
	General Membership Payment Religious School Cemetery Payment Sisterhood Brotherhood Youth Groups Miscellaneous Payment

	GENERAL MEMBERSHIP PAYMENTS
	Annual Commitment amount
	Building Improvement Fund (BIF)
	Life Membership
	Total General Payments

	RELIGIOUS SCHOOL
	Reiligious School Tuition
	Yachad Membership
	Bar / Bat Mitzvah Fee
	Donation for Scholarships to Help Others
	Total Religious School Payments

	CEMETERY PAYMENT
	Plot Payment

	SISTERHOOD
	Sisterhood Membership - $35.00 Junior Membership - $18.00 Senior Membership - $25.00 WRJ Art Calendar - $14.00 Postage for WRJ Art Calendar - $2.00
	Total Sisterhood Payments

	BROTHERHOOD PAYMENTS
	Brotherhood Membership - $36.00 Jewish Chataqua Society - $18.00 Jewish Chataqua Society - $36.00 Jewish Chataqua Society - $50.00
	Total Brotherhood Payments

	YOUTH GROUP PAYMENTS
	SAFTY (Grades 9-12) - $40.00 Gesher (Grade 8) - $35.00 Olim (Grades 6 & 7) - $30.00 Haverim (Grades 4 & 5) - $25.00
	Total Youth Group Payments

	MISCELLANEOUS PAYMENT
	Miscellaneous Payment* Please enter description
	Miscellaneous Payment Amount

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