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Join Or Ami's Neighborhood Form 2021-2022


 

Welcome to Or Ami’s Neighborhood,
a way to deepen your relationship with Congregation Or Ami
even when you don’t live close by. 
By joining Or Ami’s Neighborhood, you strengthen your connection
with our spiritual community, with Jewish life, with our clergy, and with each other.

The Neighborhood is open to anyone who lives 60 miles or more
from Congregation Or Ami’s Calabasas sanctuary.
We do ask that either you or a member of your immediate household is Jewish.

ACCOUNT INFORMATION


Please fill in your contact information below.

Adult 1


Adult 2
(if applicable)


Household


Children

*Please provide us with your child(ren)'s name(s) and cell phone (if applicable), so our rabbis can be in touch with them, when necessary.


Yahrzeit

We want to make sure that we have a complete list of Yahrzeit dates (anniversary of death) so we can send you a reminder of when to say Kaddish (memorial prayer). Please enter your Yahrzeit information below.

BECOME A NEIGHBOR

We invite you to be part of this vibrant Jewish Neighborhood. Our neighborhood provides you with an engaging experience within a community committed to deep spirituality, social action, Torah learning, and meaningful relationships. Your commitment opens doors for you to enjoy exciting events as a part of a warm, inspiring, and musical community.

Please check the box on the right to select your Neighbor commitment level.


SUSTAINING NEIGHBOR LEVEL

  • Household: $1,000
Sustaining Neighbors, in addition to all the benefits of being a Neighbor, enjoy two individual online sessions with one of our rabbis. Sustainers' additional gifts support our Neighborhood and help ensure others can become Neighbors.

NEIGHBOR LEVEL

  • Single Adult Household: $250
  • Two Adult Household: $500
Neighbors enjoy all the benefits described on Or Ami's Neighborhood homepage 


PAYMENT


Please tell us how you would like to pay your neighborhood commitment fees.

All neighborhood commitment fees are 100% tax deductible to the fullest extent of the law.


Neighborhood commitment fees must be paid in full by April 30, 2022.

Paying by Credit Card: After submitting this form, you will be taken into your secure account where you will be able to add a preferred card for paying your neighborhood commitment fees. We will contact you to confirm your payment plan before charging your card. You may also call the temple office at 818-880-4880 to give your credit card number.

TERMS

The undersigned hereby represents, warrants and agrees that (i) he/she has read and understood the content of this Application, (ii) all the information provided to COA herein is true and correct as of the date hereof, (iii) he/she agrees to be bound by the terms hereof including the payment of the Neighborhood Commitment Fees and other fees when due and payable hereunder, (iv) he/she agrees to pay a late fee of two percent (2%) per month on the unpaid balance of dues and fees not paid as and when due hereunder, (v) he/she shall abide by the bylaws, rules and regulations of COA as they currently exist and/or as they shall be amended or adopted during the term of this membership, (vi) that COA may publish and republish photographs and videos taken of me and my family at any and all COA events. Said publication may include COA’s newsletter, website, Facebook, Twitter, Instagram, social media, e-newsletters and other publications, and local and national media as it shall determine, and (vii) COA may include the information on this form in a roster that is distributed only to the COA community. Furthermore, I consent that such photographs and or videos shall be the property of COA, which has the right to duplicate, reproduce and make other uses as COA deems necessary. The undersigned authorize COA to publish photographs of me and my family for the express purposes consistent with the mission and operations of COA.


Tell Us More About You/Your Family

Please let us know where you need support and/or have an interest. Check the box(es) below that fits for you/your family.

Sat, October 16 2021 10 Cheshvan 5782