Family Membership 5779

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Member Details

* Name

* Email

* Phone Type

* Phone #

* Address

* City

* State

* Zip Code

* Adult 2 Name

* Adult 2 Phone Type

* Adult 2 Phone #

* # of Children

Child 1 Name

Child 2 Name

Child 3 Name

Child 4 Name

Child 5 Name

Child 6 Name

Child 7 Name

Child 8 Name

Child 9 Name

Child 10 Name

Child 11 Name

Child 12 Name

Membership Details

Membership Type

Family Membership ($1155)Patron Membership ($2000)First Year Membership ($0)

Patron membership includes two seats at the annual shul dinner and acknowledgement on a plaque in the shul.

Annual Seat Reservation

Please choose "2" in the "Member Seats" drop-down below to reserve your assigned seats for 5780 (included in your membership).

For additional seats for the year, use the "Student Seats" and "Extra Seats" drop-downs below.

* Member Seats (incl.)

Student Seats (through undergraduate level) ($140 ea.)

Extra Seats (i.e. for older children living at home) ($330 ea.)

Yamim Nora’im Seat Reservation

Guest Seats - RH Only ($250 ea.)

Guest Seats - YK Only ($125 ea.)

Guest Seats - RH & YK ($325 ea.)

Seating Information

The Seating Committee will do their best to accommodate seat requests.

	Name	Location	When	Requests	Notes

Optional Contribution

I would like to make an additional one-time donation as a voluntary contribution to our Shul:

One-Time Donation

Chesed

I am willing and able to blow shofar for a sick/homebound person(s)I would like to daven for the amud or layn throughout the year

Additional Comments

TOTAL

Wed, April 24 2024 16 Nisan 5784