Membership Form

Membership Application
Join Chabad as a member and together we will change the future. Your membership helps strengthen and enrich our programs. It is a critical cornerstone of our community support and is our only source of recurring income.
Basic Membership
Membership includes discounts for Chabad Events, tickets to High Holidays, listings in the Yizkor Book and Calendar.
Full Membership

Single Membership ($450 annually)Family Membership ($650 annually)
Monthly Membership

Single ($38 Monthly)Family ($55 Monthly)
Chai Society Membership
The Chai Society Members are the pillars of our community. It is because of you that we can continue to offer the highest level of educational, religious and social programming to all, regardless of their ability to pay.
Monthly Chai Membership Amount

$108-Chai Silver(1 HH Free Seat Included)$180-Chai Gold(2 HH Free Seats Included)$360-Chai Platinum$540-Chai Emerald$1000-Chai Sapphire$1800-Chai Diamond
Your Information
Full Name
First Name Last Name
Hebrew Name
Parents' Hebrew Name
Father Mother
Are you a:

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Birth Date

Month Day Year
Your Birth was on the above date:

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Phone Number
E-mail
Occupation
Spouse Information
Full Name
First Name Last Name
Hebrew Name
Spouse's Parents' Hebrew Names
Father's Name Mother's Name
Are they a:

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Birth Date

Month Day Year
Your Birth was on the above date:

Before DarkAfter Dark
Phone Number
E-mail
Occupation

Address

Northern Address

Payment

Credit Card Checks

Postal / Zip Code

Country

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Aug. 09, 2026

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Membership Application