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Membership Form

Membership Form

As a Synagogue, our community supports and maintains a friendly open Shul where no one is ever turned away. 
A cornerstone of Chabad is that we welcome everyone and strive to provide a comfortable and meaningful place of worship for everyone who comes.  If you have difficulty in supporting Membership, Please contact us.

Chabad Synagogue Membership benefits include:

1. Supports a friendly, open shul where no one is turned away
2. Full-time Rabbi providing a full range of professional services
3. A professional Chazan for the High Holidays
4. High Holiday, Shabbat and Yom Tov Services
5. High Holiday Seats at no additional cost
6. Daily Morning & Evening Services 
7. Weekly Torah classes
8. 24 hour Sukkah during the Holiday
9. Holiday dinners and community events throughout the year
10. Reduced fee for use of the Social Hall
11. Kiddush on Shabbat and Holidays
12. Weekly Children’s programs during services 
13. Regular Email Newsletters & Updates
14. Receives Chabad Community Art Calendar
15. 10% off all Jewish Learning Institute Courses
16. 10% off of Western Well Community Mikvah Membership

To join, please complete the following form:

(If you are renewing your Membership, you may just insert your name, Membership type, and payment schedule and leave the rest blank)

Membership Type: * (select one)

Family Membership - $1250

Couple Membership - $750

Single Membership -  $650
   
Family Information:
Please provide information for you and your family (as many that apply).
 
Primary Member:

Title:

Name:*

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

 
Family Member 1: (spouse/partner/child)

Title:

Name:

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

Family Member 2: (child)

Title:

Name:

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

Family Member 3: (child)

Title:

Name:

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

Family Member 4: (child)

Title:

Name:

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

Family Member 5: (child)

Title:

Name:

        
 Date of Birth: 
(mm/dd/yyyy)

 Hebrew Name: (optional)

got more family members? click here.
 
Contact Information:

Street Address: *

 

City:* 

 State:

     Zip:

  This is a:

Home Address
  Business Address

Phone: *

Email Address: *

Confirm Email Address: *

   
Billing Information:  

Card Type: *

Card Number: *

Expiration Date: *

Month:   Year: 

CVV Security Code: *

   
Payment Method:*  

One Time Payment

Monthly Payments over the next  months
   
Acknowledgment:  

Please acknowledge my payment to: *

My email address
  My street address
   
   Please contact me to discuss additional giving opportunities.

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