PJC New Partner Application

Thank you for your interest in becoming a member of Perrineville Jewish Center. To begin your membership with us, please fill out the form below and we will be in touch with you to finalize details.

* Family Last Name

Membership Tier

Membership Tiers at PJC

Virtual Access Tier:
In order to take advantage of this offering you must live outside the United States or at a distance greater than 25 miles. This tier does not offer the individual access to High Holy Days, Pastoral Care, Programs & Events or Cemetery privileges. Those can be attended for an additional cost.
Live Stream Only - $180/year
Interactive Zoom - $360/year

Shutaf Membership Tier:
This is the minimum level of commitment required and includes High Holy Day Tickets for each head of household (max of 2), weekly Shabbat services, access to Clergy (spiritual counseling, lifecycle events, etc.), programs and events and cemetery privileges. This level does not include LEV Academy enrollment.

$800/year – Individual Adult under 65 years of age/Single Parent Family with children over the age of 13
$575/year – Individual Senior Adult over 65 years of age
$1000/year – Senior Couples over 65 years of age
$1500/year – Families with Adults under 65 years of age with children over the age of 13

Atid Sustainer Tier:
Includes all of the Shutaf - Partner Tier offerings for those willing to commit to making annual donations of $5000 or more. In addition, this tier will receive 1 FREE single partnership for one year to be gifted to a NEW INDIVIDUAL. Partners in this tier will be honored at an annual Gala recognizing those individuals who are helping ensure the future of Perrineville Jewish Center.

Building Sustainment Fund
All Tiers pay into a Building Sustainment Fund (new partners only):
•Shutaf, Lomed & Atid Partners under 65 years of age : $350/year (assessed for Year 1 through 5 of partnership)
•Shutaf, Lomed & Atid Partners over 65 years of age: $100/year* (assessed for Year 1 through 5 of partnership)

*Building Fund is waived for former Beit Shalom members

A deposit of 50% of your commitment is due by August 1, 2024. The remainder of your commitment must be paid by December 15, 2024 or according to a payment plan worked out with our Treasurer, Lori Feibus. Payment on any balance must be current to receive High Holy Day tickets.

PJC will not turn away any individual or family.
Please speak with Lori Feibus
(pjcnews@gmail.com or 732-547-3951)
about payment plan options.

For questions regarding partner tiers, please call 732.334.8774.

Head of Household #1

* First Name

insert words

* Last Name

Date of Birth

* Tribe

* Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

Please insert the date and/or the Parasha

Would you be interested in having a B'nai Mitzvah aliyah on your Bar/Bat Mitzvah anniversary?

* Email

* Mobile Number

* Your Occupation

Head of Household #2

First Name

Last Name

(if different from family last name)

Date of Birth

Tribe

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

Please insert the date and/or the Parasha

Would you be interested in having a B'nai Mitzvah aliyah on your Bar/Bat Mitzvah anniversary?

Mobile Number

Spouse Occupation

Family Information

Marital Status

Date of Marriage:

Please include Apt. # if applicable

* City

* State

* Zip

How Many Children Do You Have?

Children that are living with you at home (including college students)

Child 1:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 2:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 3:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 4:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Community Information

* Did you belong to another synagogue? If yes, what was the name?

City + State of previous synagogue

or if outside of USA, please give us the name of the city + country

Reason for leaving previous synagogue

Skills and Experience

[Are there particular skills or professional experiences that you can contribute to the synagogue or share with our community?]

Payment Option

You have 2 choices for payment.

- Choose the membership type in the dropdown and pay in full.

- Choose to be billed twice a year and our accounting department will bill your account at the designated times (A deposit of 50% is due by August 1st. The remainder of your commitment must be paid by December 15th).

If you need a personalized payment plan, please contact our Treasurer, Lori Feibus, at pjcnews@gmail.com or at 732-547-3951

* Please choose your payment option

Total Payment

Thank you choosing to partner with us and welcome to Perrineville Jewish Center.

Perrineville Jewish Center. is a place where you can feel at home. Here you can experience a community committed to Torah, Avodah, Tikkun Olam and meaningful relationships. Your commitment opens doors to enjoy all Perrineville Jewish Center has to offer.

We are excited that you will be calling Perrineville Jewish Center your home for worship, learning, holidays, family and Jewish celebration.

One of our staff members will be reaching out to you soon.

Head of Household #1

Head of Household #2

Bruchim Habaim ברוכים הבאים

Bruchim Habaim
ברוכים הבאים