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CBS Membership Form 2018-2019

Welcome to an exciting new year at Congregation Beth Shalom of Napa Valley! We are grateful for your continued support and membership in our community.

Below you will find our 2018-2019 renewal / membership form.  Please take a moment to:

  • Fill in your current mailing address and contact information
  • Choose your 2018-2019 Membership Type
  • Select the options for required fees and assessments
  • Make an additional contribution, or become a Chai Circle member 
  • Select your payment preference


If you have any questions, call us at (707) 253-7305 or email Anakarina Aponte, Synagogue Administrator at

You may also visit us during office hours: Mon-Fri, 9:00am-5pm


First, Last Name

First, Last

Directions – Please indicate your choice for each Section below, sign the form and provide your payment information on the payment page. Your financial commitment must be received by the CBS office no later than June 15, 2018. You can also mail the paper form to us, or drop it off to the office at 1455 Elm Street, Napa, CA 94559.

If you need a paper form, please contact the CBS office:

For the membership year 2018/2019, the Board of Trustees has set the dues participation levels as follows:


Shorashim Membership - For families with 1 or more children who are 6 years or younger. Eligibility is determined each year and is for a maximum of 3 years.

Associate Membership - For households that do not have their primary residence in Napa, Sonoma or Solano Counties. Associate Members do not have voting rights.


* If you wish to Host an Oneg, please contact the Oneg coordinator, Sylvia Samrick for available dates:

Enter an amount (no dollar sign or periods) 

* Become a member of the Chai Circle (added contribution of $1,000 or more) - Benefit includes a special event with the Rabbi and recognition of the contribution.

It is understood the Congregation Beth Shalom of Napa Valley Membership commitment is an annual financial obligation for the fiscal year June 1, 2018 through May 31, 2019 to retain my/our full membership status. A member may not be more than 90 days in arrears. If membership is withdrawn during the year, I/we assume responsibility for full payment of any remaining balance. If any member is experiencing a financial hardship, special arrangements may be made by contacting Stephen Gugenheim, Trustee for Dues, Fees and Assessments at:

Thank you for your support.

This is your total amount for your Membership 2018-2019. Please continue to your Method of Payment option.

Method of Payment 

1.  Bill to your CBS Member Account and pay with Check or Credit card.

2.  Set up automatic payment/s on PayPal* using your credit card on the payment page.

There is a convenience fee for Credit Card (PayPal) transactions.


Please Sign and click the Submit button below to proceed to the payment page. You will then select either "PayPal" or "Bill to my account."

Signature (please type full name)

Wed, October 16 2019 17 Tishrei 5780