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Congregation Brothers of Israel

L'dor Vador—From Generation to Generation since 1883
לדור ודור

CBOI Abatement Request

CBOI Abatement Request

No one will be denied membership because of financial hardship. 
If you would like to apply for an abatement, please fill out the form below.
The Financial Secretary will reach out to you shortly.

After filling out, please hit the SUBMIT button at the bottom of the page.

999 999-9999

Abatement Certification
I certify that full payment of the regular dues charged
to me by Congregation Brothers of Israel would create
a significant hardship. 

I request a reduction of this payment through the
Synagogue's abatement program for fiscal year

The amount that I feel I can pay toward my dues for
the 2023-2024 fiscal year is: 

I understand that if an abatement is granted, it will be for this fiscal year only
(ending June 30, 2024) and that I must demonstrate a continued need to receive
an abatement in future years.  Abated dues will be due and payable promptly 
upon granting of abatement.  I also understand that this certification will be treated 
confidentially and that the Financial Secretary of the congregation will speak with
me personally about my request if I choose or if they think it will be helpful.

By inputting your name and date below, you are agreeing to the
above terms of the Abatement Certification
(first name, last name)
Thu, February 22 2024 13 Adar I 5784