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New Member Dues Commitment Form 2022-23

Standard monthly dues for the fiscal year July 1, 2022 – June 30, 2023 are as follows:
Chart showing Havurah dues for 2022-23. Please call the office at 503-248-4662, ext. 2 for assistance.

Please fill out the form below to make your 2022-23 Havurah Shalom dues commitment. If you would rather mail in a paper version, please print the file at this link and send it to Havurah Shalom, 825 NW 18th Ave., Portland, OR 97209.


Click here to see dues schedule. This will open a new window in your browser.  Please close the new window to return to this form. The dues schedule is also at the top of this page.

(You may self-adjust to 2% of your Adjusted Gross Income--line 8b of form 1040, with a minimum of $360 for those who are 24 or older. This is the amount you wish to subtract from the standard dues amount for your membership category).  

Our fiscal year runs from July 1 – June 30. This section is for new members who join after July 1. To calculate the value of prorated dues, divide your annual dues by 12 months, and multiply the resulting monthly dues figure by the number of months that have already passed since the start of our membership year.

If you are able, please help by adding to your full dues.  Members of our community have been seriously affected by the troubles in our economy.  Your extra contribution helps our Havurah remain financially healthy.

You must manually add the numbers above and enter the total dues amount into this box.

Balance due by June 30, 2023.
If you chose "Automatic Debit" from the options above, please fill out this form which gives us permission to take directly from your account.

Please enter any notes above if you want to pass along any info. 

If dues will come from a stock donation, please write in the "Notes" box above the following information:  ______shares of _________which will come from ___________________(name of  broker).  Transfer will be made by _________(month,yr).

Wed, November 30 2022 6 Kislev 5783