Congregation B'nai B'rith 1000 San Antonio Creek Road, Santa Barbara, CA 93111 (805) 964-7869

Membership Commitment Form 2022/2023                      (Membership Year is July 1 - June 30)
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Second New Member Information

Child 1

Child 2

Child 3

Mailing Address

New Membership Details

YAHRTZEIT - Anniversary of an immediate family member's passing

Indicate the name of who is observing the Yartzeit here

Who was the loved one to this observer? Add a word to describe the relationship, e.g. "Grandfather"
Authorization and Release for Use of Information and Photographs:    

Your Membership Commitment is 100% Tax Deductible (Tax ID: 95-6006585)

Membership contributions provide one-third of CBB’s annual operating budget.  Leadership Donors ensure that we keep our doors open for all to participate regardless of financial situation. Leadership Donors are invited to special events and receive recognition throughout the year.


  • Standard - $3,600
  • Family with Young Children (For families with children enrolled in BHY Preschool and/or CBB Jewish Learning Programs.) - $3,000
  • Individual - $2,000
  • Affiliate (Primary membership is at an out of town synagogue.) - $1,250
  • OpenDor (20's & 30's) - $360 suggested per young adult

Leadership Giving

Includes annual membership:
  • Sustainer                        $ 5,400
  • Rabbi's Circle                 $10,000
  • Rabbi's Circle "Chai"     $18,000
  • Builder                            $25,000
  • Pillar                                $50,000
  • Visionary                        $100,000

Just numbers - do not include $ sign

Just numbers - do not include $ sign

Just numbers - do not include $ sign

Just numbers - do not include $ sign

Payment Options

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 (Membership)
1000 San Antonio Creek Road
Santa Barbara, CA 93111
Please contact Terry Grimes at for current transfer instructions for stocks or mutual funds.
Credit Card Fees



Payment Schedule

Frequency Values

Calculation determines the number of Transactions. Interval determines how often, and must be set to 3 via formula for quarterly (every 3 months) instead of every 4 months.
Credit Card Information



Please continue to the next page to make your Security Fund contribution.
(It will be processed as a separate transaction)
Office Use - HIDDEN

Gateway Amount is Final Membership / Frequency or 0 if not credit.

Membership Start Date mapped to today's date to capture the actual date the membership began


If you have general questions about this or any event you may call our front office at (805) 964-7869