Chabad Jewish Center Membership Form
Membership at Chabad Jewish Center means that you partner with us in bringing authentic Jewish values to our area. The money we raise via Membership helps cover our operating budget. Every penny contributed stays right here, working in our community, benefiting everyone. Literally thousands of lives were touched in a positive way through our activities this past year. But there is so much more to do.
Chabad Jewish Center is a registered 501(c)(3) nonprofit organization. All charitable contributions are tax-deductible. You will receive a tax receipt by email or direct mail unless otherwise noted below.
We welcome you to join our membership family and enjoy being part of our wonderful community!
Membership rates:
$1200 Family Membership: $100 per month
$500 Single Membership: $42 per month
Membership Benefits:
- Complimentary seats for High Holiday services
- Weekly e-newsletter and all other communications
- Discount on Preschool tuition
- Discount on Hebrew School tuition
- Listing in NEW Membership Directory
- Complimentary tickets to Annual Membership Event
- 50% discount on Bar/Bat Mitzvah fees
- Facility charge waived for use of the Social Hall (Limit once annually, subject to availability and restrictions)
- Belonging to amazing Jewish community & building lifelong friendships
Payment Options:
Please feel free to choose to make your payment by check or credit card. You may also divide the dues into 12 separate post-dated checks or 12 credit card payments throughout the year.
We’d love for YOUR FAMILY to become a part of OUR FAMILY!
SECTION I: YOUR INFO
SECTION II: SPOUSE'S INFO
Name
First Last
Name
Hebrew Name
Hebrew Name
Father's Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Mother's Hebrew Name
Occupation
Occupation
Birth Date
/ /
MM / DD / YYYY format
Birth Date
/ /
MM / DD / YYYY format
Jewish by:
Birth Converted
Jewish by:
Birth Converted
Check One:
Cohen Levi Israel
Check One:
Cohen Levi Israel
SECTION III: PERSONAL INFORMATION
Address
Email 1
City/State/Zip
City State Zip
Email 2
Home Phone
Marital Status
Work Phone
Anniversary Date
/ /
MM / DD / YYYY format
Work Fax
Cellphone 1
Cellphone 2
If Divorced:
If divorced, do you have a
Jewish "Get" ? Yes No
SECTION IV: CHILDREN
Name
Birth Date
/ /
MM / DD / YYYY format
Name
Birth Date
/ /
MM / DD / YYYY format
Name
Birth Date
/ /
MM / DD / YYYY format
Name
Birth Date
/ /
MM / DD / YYYY format
Name
Birth Date
/ /
MM / DD / YYYY format
Name
Birth Date
/ /
MM / DD / YYYY format
Are any children adopted? Yes No
If yes, give details, including any conversion info:
SECTION V: YAHRZEIT INFORMATION
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
Name
English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship
SECTION VI: MEMBERSHIP CONTRIBUTIONS - ANNUAL
Family: $1,200 ~ Single: $500
Payment Method:
Card Details:
Please bill me
Card Type:
Check | 12 post dated checks
Total Amount being charged today:
Credit Card | full payment
Card #:
Credit card | 2 equal payments
(one now, one in 6 months)
Exp. Date
Credit card | 12 equal payments
(on first of each month)
Cvv Code
Optional Comments:
**All contributions are tax deductible and can be paid throughout the year. No one is turned away for lack of funds. If you cannot afford the full amount requested, contact the Rabbi for a confidential arrangement.
SERVICE
Chabad Jewish Center is seeking motivated members of the community to make their mark. There are many areas of leadership that you can get involved with. When you sign up for membership, please consider signing up for a role in one of the leadership areas listed below.
Chabad Leadership Committees
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 Challahs to new residents, Bikur Cholim, visiting the sick or bereived, weekly kiddush, Young Ladies' Mitzvah Club.
Men's Club - Sunday morning Minyan, special projects to benefit the shul.
Outreach and Membership Committee - reaching out to prospective members.
Please callChanie Zaklikovsky at 732-656-1616 for more info or to sign up for a committee.
