Membership Application

An Invitation to Membership

in Moses Montefiore Congregation

We welcome you into our MMT Family!  We are pleased you have chosen to join with us.  We look forward to getting to know you and to participating with you in our community. Please fill in the basic information below.  A representative of our membership committee will be in touch with you shortly to talk with you and learn more about you and how we can help to make your membership in our Congregational Family a very fulfilling one. 

NAME(S):

CHILDREN’S NAMES and AGES:

ADDRESS:

PHONE: CELL PHONE(S):

EMAIL(S):

Annual dues for MMT  have been established at 1.5% of your gross annual family income, with a minimum contribution of $500 per year.  Additionally, MMT families make an annual contribution of at least $100 to our Building Maintenance Fund.  Members are, of course, welcome to make dues commitments at higher levels when possible.  Please know that no member will be turned away for financial reasons.  Our President or Financial VP will be happy to work with you.  All conversations are, of course, confidential.

You are welcome to include your dues with your Membership Invitation.  Otherwise, please indicate whether you prefer to be billed annually, semi-annually or quarterly.  Please return this Invitation to MMT at 102 Robinhood Lane, Bloomington, IL  61704

My/our dues pledge for the 2012/2013 year is:  ________.

Please bill me ___annually  ___semi-annually  ___quarterly.

____Please check here if you would like to talk to our President or Financial VP about your dues.

your signature_____________________________