Membership and Financial Commitment Form
for Fiscal Year: June 1, 2018 thru May 31, 2019

If you are not yet a Member, please do not use this form; instead, please submit a New Membership Registration.

If you have already submitted your commitment form and would like to make a payment towards your existing annual flexible financial pledge, please go to the Online Donations page and use the Flexible Commitment Payment section.

* indicates required fields

YES! I/we are members of Peninsula Sinai Congregation for the coming year.

Household Members

Adult Household Members (maximum of two, including yourself. Please enter full names):

Children living in Household:

Financial Commitment

As member(s) of Peninsula Sinai Congregation, I/we pledge to contribute the amount indicated below to PSC to support all its programs, services, facilities, clergy and staff for fiscal year June 1, 2018 thru May 31, 2019. This form is due prior to June 30, 2018.



* The “supporting” amount is a projection of how much PSC needs from each member household to fully support the programs and facilities that our congregation has budgeted for fiscal year 2018/19.  Please consider paying more than the “supporting” amount to cover shortages from congregants who don’t have the means to pay this amount.




Payment Options

What are my payment options? You may pay by:

• Check: When you receive your statement(s) in the mail, send a paper check.

• E-check/Direct Debit: For your convenience, we can make a direct debit to your checking or savings account according to your designated payment plan. Please use the paper version of this form (attached below) to mail your details to us; for your security, do not send electronically.

• Credit card: For your convenience, we can charge your credit card according to your designated payment plan. We do this for your convenience, but please note that a processing fee of 3% is added to all credit card charges. Please use the paper version of this form (attached below) to mail your details to us; for your security, do not send electronically.

• Online: Go to the Online Donations page and use the Flexible Commitment Payment section to pay by credit card through PayPal. A 3% processing fee is added to all credit card transactions through PayPal.





Additional Comments
Electronic Signature

Please sign and mail the paper version of this form to PSC or submit on our website prior to June 30, 2018


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