Print out and mail this form to the address below with your check made out to the Secular Jewish Circle of Puget Sound

Date___________________ 

___ Renewal Membership    ___ New Membership

Adult Member Name/s ______________________________________________

Adult Nonmember Name/s ___________________________________________

Children's Name/s andAge/s (under 18)_________________________________ 

Address_________________________________________________________

City/State/Zip_____________________________________________________

Home Phone_____________________ Work Phone ______________________

e-mail address ____________________________________________________

Names and Birth Dates of all Family Members (year optional)
________________________________________________________________________

____ I do NOT want my name printed in the newsletter and/or membership directory (circle either or both)

Annual membership per household (includes newsletter and membership to SHJ):
Annual membership dues per household (please circle). We encourage households with more than one adult to join under the "2 Adult member" category.  Membership dues support all of the programs and activities of SJC.  If you plan to partake as a couple, it's important to both support SJC to help maintain our community.

Membership entitles you to attend all local activities, receive the SJC newsletter, pay reduced fees for the High Holiday and Passover celebrations, and register for Shalom Sunday School.  Dues to SJC also include an affiliation with the Society for Humanistic Judaism and receipt of their quarterly journal and access to conferences and courses offered by the International Institute for Secular Humanistic Judaism.

	Standard	Suggested Limited Income
1 Adult	$290	$100
2 Adults	$550	$130
Associate	$30	receive newsletter, pay nonmember fees at events

In addition to my dues, I would like to make the following contribution: $___________________

for (e.g. in memory of, in honor of) ____________________

Total Enclosed = $__________

Please check here if you would like to pay your dues in two installments (November and January)_______

If you can’t afford membership dues, we still want you to join SJC. Please contact us at 206-528-1944.

Please enclose a check with form made out to SJC.

We value the experience and knowledge of our members. We invite you to share your ideas and expertise with us and hope you will choose from the following areas to get involved in the organizational efforts of our community.  We encourage both renewing members and new members to help us grow. We hope you will choose from the following areas to get involved in the important organizational efforts of our community:

___ Programs: Create and plan programs for monthly Shabbat gatherings and other events.
___ Event Logistics:  Help set up and clean up at Shabbat and other events.
___ Mitzvah Corps:  Assist members in times of need and general community services.
___ Social Action:  Plan discussions and action on current issues.
___ Jewish Studies for Adults:  Organize and participate in discussions on aspects of Jewish history and culture.
___ Youth Education: Help guide the Sunday school and youth programs at community events.
___ Ritual:  Participate in the development of rituals for Shabbat and other holidays.
___ Security: Help evaluate ways to ensure our community remains secure.
___ Fundraising:  Plan and conduct annual fundraising event.
___ Outreach:  Promote SJC in the community through press releases to local media, paid advertising, our web page, phone calls and other means of communication.
___ Membership Development:  Welcome and help integrate new members and encourage prospective members to become acquainted with SJC.
___ Bookkeeping and Financial Expertise:  Help SJC keep our financial records.
___ Organizational Leadership:  Help make policies and decisions for SJC.
___ Professional Skills:  Occasional help in strategic planning, legal matters, mailings, grant writing, etc.
___ Artistic Skills: Contribute music, dance, storytelling, photography, etc.
___ Computer support: Maintain membership database, mailing lists, and web sites.

Where did you hear about our group?
___ Friend/Word of mouth
___ Seattle's Child Ad
___ PCC Sound Consumer Ad
___ Jewish Transcript Ad
___ UW Daily Ad
___ The Stranger Ad
___ Parent Map Ad
___ Event Calendar (which____________)
___ Web Site
___ Other _________________________________________________

Revised 8/08