Newton Centre, MA Orthodox Synagogue / Shul near Boston, Massachusetts--Membership Dues & High Holiday Seating Request Form
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High Holy Days Seating Request & Membership Dues Form


Please fill in the red parts of form below and then click the "Submit" button below.  Also please remit to the Shul office a check for the amount shown at the very bottom, which includes any previous balance, your first dues payment for the upcoming year and if you are purchasing seats, the cost for the seats.  You are expected to fill out the form and then click the "Submit" button below whether or not you purchase seats.

Step #1

First name:   Last name:
Your email:     phone
Please note: if you previously completed this form this year,
and now need to make any subsequent changes (e.g. additional seats),
please complete and submit the entire form all over again from scratch
as your subsequent entry will completely replace your entire previous entry.

 

Step #2
(For a financial adjustment please check here:
We will contact you as soon as possible.)

Choose Number
of Payments

Choose MEMBERSHIP CATEGORY ANNUAL
DUES
FAMILY MEMBER $2,000
SINGLE MEMBER $1,000

Payment
Due Dates

$1,000 DISCOUNTED
FAMILY MEMBERSHIP
(no charge for seats)

FIRST YEAR

$0 SEATS ONLY
(no charge)

FRIEND OF THE SHUL (Local)
(There are no membership privileges in this category)
$1,000
FRIEND OF THE SHUL (non-Local)
(There are no membership privileges in this category)
$500
NO MEMBERSHIP  (High Holiday seats only) $0
AMOUNT DUE ON EACH DUE DATE
 

Step #3

High Holiday Seating Request Form
No seats will be issued unless previous balance is paid in full, and the first dues installment and full payment for the seats is received by the shul office.
Seats will be assigned after the submission deadline for this form.
After that time, all remaining seats will be available on a first-come first-serve basis.

Notes:
1.
Click on any Section letter below for a detailed PDF map popup of all shul seating.
2. If popup blocker prevents detailed map, hold CTRL key while clicking Section letter below.
3. After detailed PDF map popup appears, adjust PDF zoom magnification level as needed.
4. The circled seats shown in the detailed PDF map popup are for wheelchairs.

Last year's seating assignments

*Duplicate surnames are differentiated with first initials.
*Note scroll bar on right hand side for listings that exceed text area shown.
*For seating reference only, not used for billing purposes.

Step #4

Check here if seats are NOT required this year:  

Check here to request the exact same seats as last year:
If you need fewer or more seats this year, don't check this box.

 
Seating preferences
  Preference #1 Preference #2 Preference #3
Men Section

Seats






Women Section

Seats








 

PLEASE COMPLETE TO ENABLE SUBMIT 

PRICE/SEAT 

AMOUNT

Men's seats (adult)

each
seats

Women's seats (adult)

each
seats

Children's seats
(below age 21)

each
M:
seats
F: 
seats

 

Seats Subtotal:

 

Suggestions, Comments, etc:
 

Step #5

Summary of Dues and Seats

Building Fund: Beginning the second full year of membership there is a Building Fund assessment of $2,000 for family members, $1,000 for single members, $500 for Friends of the Shul due over a five year period.
Prior Balance: Payment of prior balance is required in order to acquire seats.

AMOUNT

Dues Subtotal

Seats Subtotal

Prior Balance
(Please refer to your mailed statement for proper amount)

 

Building Fund Installment
(Please refer to your mailed statement for proper amount)

 

Security assessment

TOTAL DUE


 
             

(To enable "Submit" button,
please complete Step #4)