Thank you for considering your membership in Chabad Jewish Center of La Jolla today
(see below for Chai Society and High Holiday R.S.V.P info)
On behalf of all those who benefit from your support, thank you for being awesome today and taking real action for good.

If you wish to add any personal date birthdays, anniversaries or yartzait

please add them in the comment box below

SECTION I: YOUR INFO

SECTION II: SPOUSE'S INFO

Name First/Last

 

Name

         

SECTION III: PERSONAL INFORMATION

Address   Email 1
City/State/Zip   Email 2
Home Phone   Marital Status
Work Phone    
MM / DD / YYYY format
         

SECTION VI: MEMBERSHIP CONTRIBUTIONS - ANNUAL

Chai Society Club Pillar $ 180 Monthly
Honorary family $3,600 Family: $1,800 ~ Single Parent Family: $850 ~ Single: $700* All memberships levels include High Holiday seating.
High Holiday RSVP: $180 pp*

Payment Options:

One full payment of:  

Please chage my:

Visa M/C AMEX
  Quarterly payments, each   Card #:
  Monthly payments of each   Exp. Date

Payment Method:

Credit Card
Check is in the mail
Please bill me
  Comments: Please add personal date reminders here

* No one is turned away for lack of funds. If you cannot afford the full amount requested, contact the Rabbi for a confidential arrangement.