Annual Giving Form

Annual Giving Worksheet 2022/2023

July 2022 - June 2023

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address City State ZIP Code
A. Choose your Membership Giving Level - Either Standard or Benefactor
A1. Standard Annual Giving Levels
All but "Friend of CBI" include High Holy Day tickets.
Couple (age 36-67) Quantity
Price: $3,375.00
Individual (age 36-67) Quantity

Price: $1,750.00
Couple (age 68 and over) Quantity
Price: $1,900.00
Individual (age 68 and over) Quantity
Price: $1,200.00
Couple (age 35 and under) Quantity
Price: $360.00
Individual (age 35 and under) Quantity
Price: $180.00
Sharon Members' Annual Fee Quantity
Price: $500.00
Friend of CBI Quantity
For those with membership at other synagogues. Does not include High Holy Day tickets.
Price: $360.00
A2. Annual Benefactor Levels
Includes High Holy Day tickets and Recognition Events
Platinum Chai (Gala Full Table/Adult Enrichment Patron) Quantity
Price: $18,000.00
Golden Chai (6 Gala seats/Adult Enrichment Patron) Quantity
Price: $10,800.00
Silver Chai (4 Gala seats) Quantity
Price: $7,750.00
Bronze Chai (2 Gala seats) Quantity
Price: $5,825.00
Copper Chai (Gala seats not included) Quantity
Price: $3,900.00
B. Mandatory Security Fee:
Couple Quantity
Price: $100.00
Individual Quantity
Price: $50.00
C. Choose Additional Support
Membership Support Fund (enter discretionary amount)
Helps offset fees of those members needing financial assistance
Security Fund (enter discretionary amount)
Additional money to help fund CBI's security needs
Youth Shabbat Programming (enter discretionary amount)
Including Junior Congregation
CBI Coastal Service Quantity
Shabbat morning programming in Irvine
Price: $360.00
Adult Enrichment Patron ($500/person) Quantity
Supports additional educational, cultural, musical, and religious speakers and experiences
Price: $500.00
D. Education Fees
Alef (K-1st) Quantity
Price: $650.00
Bet-Zayin (2nd-7th) Quantity
Price: $1,085.00
Hebrew High (8th-12th) Quantity
Price: $650.00
Family Class Supplement (6th & 7th)/per family Quantity
Required for B’nai Mitzvah pupils not enrolled in CBI Religious School
Price: $180.00
Religious School PTO ($36/family) Quantity
Price: $36.00
E. Youth Groups and Affiliate Programs
Youth Registration Form
https://docs.google.com/forms/d/1TuDNPv_YguxVMN02F2Vs2_ZEYsCAMabK3xpyhYOEp38/edithttps://www.cbi18.org/wp-admin/admin.php?page=gf_edit_forms&id=248https://www.cbi18.org/wp-admin/admin.php?page=gf_edit_forms&id=248
Machar (K-3rd) Quantity
Price: $25.00
Kadima (4th-6th) Quantity
Price: $75.00
USY (7th-12th) Quantity
Price: $100.00
Women's Club Quantity
Price: $36.00
Men's Club Quantity
Price: $36.00
Comments (optional)
F. Payment Information
Payments towards 2022-2023 ANNUAL GIVING, DONATIONS, AND OTHER FEES must begin by end of July 2022 to guarantee High Holy Day tickets and religious school enrollment.
Total
$0.00
Payment Method*
I agree to adhere to the Congregation B’nai Israel by-laws and monetary obligations. I understand that my past ANNUAL GIVING, DONATIONS, AND OTHER FEES are now due. If I am unable to fulfill my financial obligations to CBI, I will contact the Executive Director (exdir@cbi18.org)
- NEW! To help CBI save CC processing fees, I will contact the office for information to pay by ACH
- Continue my monthly payment plan
- I will send a check(s) to the CBI office, see comments below for my payment plan
- Charge my card on file for the full amount
- I will pay in full online now with my Visa or MasterCard
- I will contact the office to set up a payment plan
- Please see comments below for my payment plan
Credit Card

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments (optional)

Annual Giving Form

Annual Giving Worksheet 2022/2023

A. Choose your Membership Giving Level - Either Standard or Benefactor

A1. Standard Annual Giving Levels

A2. Annual Benefactor Levels

B. Mandatory Security Fee:

C. Choose Additional Support

D. Education Fees

E. Youth Groups and Affiliate Programs

F. Payment Information