בס"ד
YOUNG ISRAEL OF ORANGE COUNTY
#122
5319 UNIVERSITY DRIVE
IRVINE, CA 92612
(949) 300-8899
(Rabbi’s Office)www.yioc.org
MEMBERSHIP APPLICATION
DUES & MEMBERSHIP SCHEDULE &
HIGH HOLIDAY EXTRA-SEATING INFORMATION
August 1, 2011 – July 31, 2012
Full Membership:
Family $1,950.00* (includes two admissions)
Single $ 975.00* (includes one admission)
Undergraduate College Student $ 100.00* (includes one admission)
Special Incentives and Payment Plans:
*7% Discount applies if payment in full is received by August 31.
Newly Wed Couples (married in past 12 months)
where neither married spouse ever before has joined any synagogue or temple: one year free.
Installment Payments Option –
For All Memberships:
Family Membership: $750.00 with application and 10 monthly payments of $120.00
Single Membership: $375.00 with application and 10 monthly payments of $60.00
Undergraduate College Student Membership: $50.00 with applic. and 10 monthly payments of $5.00
Associate Membership:
Associate Membership is $950.00. This category is for those with primary membership at another temple, but who also desire to associate with and support YIOC. Please Note: Associate Membership does not include admission for the High Holidays. An installment plan is available: $350.00 with application and 10 monthly payments of $60.00
Additional High Holiday Seats:
Each additional seat is $200.00. (E.g., for your children or guests).
It is the policy of Young Israel of Orange County that no one ever will be denied membership in YIOC or admission to High Holidays because of financial need. If you have such need, please communicate accordingly in confidence with Rabbi Fischer.
YIOC MEMBERSHIP ACCOUNT
CREDIT CARD AUTHORIZATION
The YIOC membership year is from August 1, 2011 through July 31, 201
2. To qualify for the 7% “Early Bird” discount described above, your payment must be received by YIOC in full by August 31.YIOC also offers a separate option for paying in installments. Because YIOC necessarily operates on a highly streamlined, efficient budget to maximize the value of your donations and payments with minimized overhead, your installment payments automatically are charged each month to your credit card.
Please check the appropriate box below and fill in the requested information.
I would like to make my dues payment as follows:
1 Payment:
____ $1950 (Family); ____ $975 (Single); ____ $950 (Associate); ____ $100 (Undergrad College)
Family Installment Plan: 1 Payment of $750 and 10 consecutive monthly installments of $120
Single Installment Plan: 1 Payment of $375 and 10 consecutive monthly installments of $60
Associate Installment Plan: 1 Payment of $350 and 10 consecutive monthly installments of $60
I hereby authorize YOUNG ISRAEL OF ORANGE COUNTY to charge my credit card (or debit my debit card) for dues on the first day of each month until all payments under this above contract are made.
TYPE OF CARD (please check appropriate box)
¨ MasterCard ¨ Visa
__________________________________________
Credit Card Number
_________/___________
Expiration (Month/ Year)
___________________________________________
Name (exactly as it appears on your card)
_______/______/_______
3-Digit CVV Security Number (on back of card)
__________________________________________
Cardholder's E-mail Address
_________________________________________
Cardholder's Mailing Address
_________________ _____________________
Today’s Date Your Phone No.