Lori Schottenstein Chabad Center
Membership  5773

Please complete the form and submit, then return and click
the "donate now" button to make your membership payment.
 

Last Name  

New Membership Renewal

Principal Members

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Name                                   Jewish name                         Birthdate

    
Mother's Jewish name            Father's Jewish name

        am pm
Name                                   Jewish name                         Birthdate

    
Mother's Jewish name            Father's Jewish name

Children

        am pm
Name                                    Jewish name                        Birthdate

        am pm
Name                                    Jewish name                        Birthdate

        am pm
Name                                    Jewish name                        Birthdate

        am pm
Name                                    Jewish name                        Birthdate

        am pm
Name                                    Jewish name                        Birthdate

        am pm
Name                                    Jewish name                        Birthdate 

Contact Details

Home Address

Work Address

      
Home phone               

             
Cell phone                 Name                                     Cell phone                 Name

    
Work phone              Name

Email - primary

Email - secondary

Yartzeits

        
Jewish names                        Date                        Relationship

        
Jewish names                        Date                        Relationship

        
Jewish names                        Date                        Relationship

        
Jewish names                        Date                        Relationship

Preferences

I/we are interested in the following:

Attending weekly classes 

Hebrew School

Chevrah Chasdusha

Shabbat Morning Minyan  

Women’s Chessed Group 

Men's Club 

Shabbas Club

Youth Group

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Leadership areas of involvement:

I/we are interested in the following: 

Young Adult Leadership - Will include programming for children, social programs for adults  

Shabbat Services Leadership - Will include weekly aliyot, shul related matters, high holiday services   

Women's Club - Chesed programs, delivering meals to new mothers and their families, weekly kiddush, Young Ladies' Mitzvah Club

Men's Club - Sunday morning Minyan, special projects to benefit the shul  

Chevra Kadisha - tending to the needs of recently departed 

Outreach and Membership Committee - reaching out to prospective members.
 

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Other - Please specify:

Payments

I am submitting payment for:

Single Membership $500 
Family Membership $850
Enhanced Membership $1100
Associate Membership $450 (if a member of another shul)

I am paying with:

One payment due Sept. 1   
Two payments due Sept. 1 & Dec. 31
Please contact me about automatic monthly payments

Single and Family Membership includes: 
• Services of the Rabbi at all life cycle events.
• Bar/Bat Mitzvah facilitation.
• Discounted Chabad Hebrew School tuition
• 30% discount on facility rental fees
• Weekly e-newsletter and other communications
• First opportunity/advanced notice for reserved High Holiday seating
• Discounts on JLI classes
• High Holiday reserved seating for couple and children under 25

Enhanced Membership:
• All the features of Membership
• Kiddush for one occasion of your choice. (Please call the office to reserve your special date).

Associate Membership Includes:
• Weekly e-newsletter and other communications
• First opportunity/advanced notice for reserved High Holiday seating
• Discounts on JLI classes
• 2 reserved seats at High Holiday events 

 Hebrew School Tuition
• Members: $675
• Non-members: $825

Kiddush sponsorship
$400