Membership Form 5786(2025/26)

Chabad Columbus Membership 5786
Individual & Family Memberships include:
- Hebrew school reduced tuition
- Bar/Bat Mitzvah facilitation
- 50% discount on Social Hall rental
- Jewish Learning Institute (JLI) class discounts
- Synagogue Burial Plot Purchase
Enhanced Membership Also includes:
- Priority reservation on Kiddush sponsorship for one occasion of your choice (Please call 614-939-0765 to reserve your date)
Associate Membership includes:
- Jewish Learning Institure (JLI) class discounts
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Member Name
First Name Last Name
E-mail
Phone Number
Member Jewish Name
First Name Last Name
Member Birth Date

Month Day Year
Member 1 Birth Time
Member Mother's Jewish Name
Member Father's Jewish Name
Additional Member First & Last Name
First Name Last Name
Additional Member Jewish Name
Additional Member Email
Additional Member Phone Number
Additional Member Birthdate

Month Day Year
Additional Member Birth Time
Additional Member Mother's Jewish Name
Additional Member Father's Jewish Name
Children
First Child
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Time of Birthday
Second Child
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Time of Birthday
Third Child
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Time of Birthday
Primary Program Interests

Attending Weekly ClassesHebrew SchoolFamily Shabbat and Holiday ProgramsCTeenShabbat Morning MinyanWomen's Rosh Chodesh ClassesMen's Club
MEMBERSHIP LEVELS AND CATEGORIES

Individual Membership $875Individual Enhanced Membership $1,275Family Membership $1,375Enhanced Family Membership $1,675High Holiday Aliyah $400Kiddish Sponsorship $500High Holiday individual Yizkor / Per Listing $36High Holiday Yizkor Unlimited Family Listings $150Remembrance Wall Plaque $1,000

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total

$0.00

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Please charge my credit card in installments

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Membership Form 5786(2025/26)

Chabad Columbus Membership 5786

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