Keddem Congregation
2017-2018 Membership Renewal and Dues Commitment Form
Please enter information for your household.

This form is being filled out by:

Member Information (Part 1 of 3)

Please provide the requested information for each Keddem member in your household: (including the form preparer)
(Keddem membership is open to anyone 13 or older.)
 Full NameEmailOccupationCell Phone (including Area Code)
Member 1
Member 2
Member 3
Member 4
Please provide the requested information for children under the age of 13 in your household:
 Full NameDate of Birth
Child 1
Child 2
Child 3
Child 4

Household Information (Part 2 of 3)

Dues Commitment and Payment Options (Part 3 of 3)

"Every one shall give as s/he is able according to the blessing of Adonai, your God, which Adonai has given you."
                                                                                                                       -- Deuteronomy 16:17

Every member of Keddem Congregation is an equal part of our community, regardless of dues contribution.
Please be assured that your payment plan and amount are strictly confidential.
Keddem's dues for 2017-18 are $100 per person for each Keddem members in a household. 

Number of Keddem members in household 1 2 3 4
Total household dues $100 $200 $300 $400
I/we choose the following payment option for the dues year July 2017 - June 2018.
Please fill in the date or dates you will be making your payment(s).
Please note that all payments must be completed by December 31, 2017.
 First PaymentSecond Payment
Payment Date:
Payment Amount:
Questions? Email
If making payments by check, checks should be made payable to Keddem Congregation and sent to P.O. Box 50758, Palo Alto, CA, 94303-0666.
Keddem is a 501(c)(3) nonprofit organization (EIN 77-0365755).  Membership dues are tax-deductible to the extent allowed by law.

Please note the following when you click on the Submit button:

If you are not paying anything in this session, the next page will show $0.00 for your order.  Please click Confirm Order to finalize your renewal.  You will receive an email confirmation to the email address you provided at the top of the page.

If you are making a payment in this session, the next screen will show you the amount you are paying.  Click the PayPal button to continue to PayPal.  You will receive an email confirmation once you complete the payment process.  You do not have to have a PayPal account to pay your dues via PayPal.