Membership Renewal Form 2023/2024

New or Returning Member?

New Member of CBB - Welcome!Returning Member of CBB - Thank you for your continued membership!

First Name

Last Name

Email Address

Phone

Street

City

State

Zip Code

Member Date of Birth

Member Pronouns

Member Occupation/Profession

Member Company Name

Member Religious Background

Please upload a current picture of yourself for our confidential, internal database. This helps us with communication and will not be shared outside of our organization. Please ensure the picture is just of you, ideally a head-shot, low resolution is acceptable.

Would you like to add a second adult member for your household?

Yes, please add another adult to my membershipNo, there are no other adults to add to my membership

Are you a single parent household?

Yes, we are a single parent householdNo, we are not a single parent household

Second New Member Information

Second Member's First Name

Second Member's Last Name

Second Member's Email Address

Second Member's Cell Phone

Second Member Date of Birth

Second Member Pronouns

Second Member Occupation/Profession

Second Member Company Name

Second Member Religious Background

Child 1

Child 1 First Name

Child 1 Last Name

Child 1 Birth Date

Child 2

Child 2 First Name

Child 2 Last Name

Child 2 Birth Date

Child 3

Child 3 First Name

Child 3 Last Name

Child 3 Birth Date

Observer

MemberSecond MemberIndicate the name of who is observing the Yartzeit here

Member Name

Second Member Name

Relationship

Who was the loved one to this observer? Add a word to describe the relationship, e.g. "Grandfather"

Membership Selection

Membership or Leadership Amount

Optional Contributions

Security - to help offset costs associated with keeping our community and campus safe.

Building Fund - to help maintain our campus and facilities.

ARZA - optional $50 for The American Reform Zionist Association.

Yes, please add $50 to my total.

Are you making your gift anonymously?

YesNo

How would you like your name listed?

Note: Your credit card will be charged 5 days from the date you submit this form.

Please make your check payable to CBB and mail to:

CBB
Attn: Membership
1000 San Antonio Creek Road
Santa Barbara, CA 93111

Transfer to Vanguard DTC #0062 ACCT #12462664 FOR: CBB Corp.
Please contact Terry Grimes at terry@cbbsb.org upon transfer.

First Name on Card

Last Name on Card

Exp. Month

Exp. Year

YYYY

Security Code

Billing City

Billing State

Billing Zip Code

Would you like to go paperless? If you select "Yes" you will receive membership renewal materials via email next year.

Yes - I want to receive my materials via email onlyNo - I want to receive a mailed renewal packet

Would you like your membership to be automatically renewed each year? If you select "Yes" you will be invoiced for the same membership level in July of next year.

Yes - sign me up for auto renewalNo - I do not wish to automatically renew my membership

Special Instructions

Thank you for your continued generosity and support!