15727 NE 4th Street • Bellevue, WA 98008 • (425) 603-9677

Membership Pledge Renewal Form

This registration form is our online method for membership pledge renewal. If you encounter any problems with the form, please contact Katie at ksturm@templebnaitorah.org

Please complete this form no later than June 20th.

If we do not hear from you prior to first billing in July, it will be assumed that your pledge amount is acceptable.

Payment Options: You can pay by check, credit or debit card. We prefer you select either credit or debit card which are automatically charged per the payment cycle you choose. We now accept American Express and Discover in addition to MasterCard and Visa.

Membership will not be denied any individual or family due to financial circumstances.
Special arrangements can be made in a sensitive and confidential manner.

If you need assistance, please call/email Howard Wasserteil, Director of Administration: (425) 603-9677, ext. 210.