Invitation to Membership

An Invitation to Membership
We'd love for YOUR family to become a part of OUR family!
We all need community.
It gives us amazing friendships.
It gives us support and strength.
Chabad is all about community, connection and celebration!

Your membership enables us to bring our community together through our meaningful programs, events, dinners, and classes. While covering some of our facility and operational expenses.
Chabad's doors are open to all members and non members.

If the membership information is the same as the previous year,
check off the YES button, type in your full name and select membership option.
Membership information is the same as previous year
YesNo
ADULT #1
Full Name
First NameLast Name
Hebrew Name
Birth Date
MonthDayYear
E-mail
Occupation
Jewishness
From BirthConvertNot Jewish
Family
KohenLeviYisroelI don't know
Cell Number
Area CodePhone Number
Work Number
Area CodePhone Number
Home Number
Area CodePhone Number
ADULT #2
Full Name
First NameLast Name
Hebrew Name
Jewishness
From BirthConvertNot Jewish
Family
KohenLeviYisroelI don't know
Occupation
Cell Number
Area CodePhone Number
Work Number
Area CodePhone Number
Home Number
Area CodePhone Number
Birth Date
MonthDayYear
E-mail
PERSONAL INFORMATION

Address

Marital Status
Anniversary Date
MonthDayYear
Yarhtzeit of loved one/s: Name + Date
CHILDREN
Full Name
First NameLast Name
Birth Date
MonthDayYear
Full Name
First NameLast Name
Birth Date
MonthDayYear
Full Name
First NameLast Name
Birth Date
MonthDayYear
Full Name
First NameLast Name
Birth Date
MonthDayYear
All Inclusive Membership Includes:
- Monthly Shabbat Dinners
- All Holiday Programs
- Rosh Hashana + Yom Kippur Seats
- Lulav/Etrog Set for Sukkot
- Hand Made Shmurah Matza
- Mishloach Manot
-All classes and courses
- 10% Hebrew School Registration
-Shabbat/Holiday Kid's Programs
Regular Membership Includes:
Rosh Hashana & Yom Kippur Seats
Hand-made Shmurah Matzah
Mishloach Manot Packages
Membership Plan
Please choose your monthly membership option.
Membership Options - Monthly*check off next box to make payment recurring monthly
$250 All Inclusive Membership ($3000 annually)$100 Regular Membership ($1200 annually)$64 Single/Senior Membership ($770 annually)
Yes, I'd like to make this a monthly recurring payment.
If you'd like to pay in full, choose your membership plan
All Inclusive Membership $3,000Regular Membership $1200Single/Senior $770
Total
$0.00

Payment*

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Postal / Zip Code

Country

Would you like to be part of our member Directory?
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*Your monthly membership, automatically enters you into our Chai Club*
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PERSONAL INFORMATION