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Membership

Membership

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.

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