Printed from ChabadIrvine.org

Membership

Membership

Chabad of Irvine Membership

We welcome you to join our membership family and enjoy being part of our wonderful community!

Membership rates:

$1800 Chai Membership: $150 per month
$900 Senior/ Young Membership: $75 per month

Membership Benefits:

  • Free listings of departed loved ones in Yizkor booklet
  • 2 Complimentary seats for High Holiday services
  • Discount on Preschool tuition
  • Discount on Hebrew School tuition
  • Discount on all Chabad events and programs including Shabbat Dinners, Passover Seders, JLI, and Lectures
  • Complimentary tickets to Annual Membership Event
  • A family member to receive honor during High Holidays Services
  • 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:

Choose to make your payment by check or credit card. You may also divide the dues into 12 separate post dated checks or credit card payments throughout the year. You may also choose to have us bill you periodically 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   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 coversion 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: $1,800 ~ Single: $900

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.

Secure This page uses 128 bit SSL encryption to keep your data secure.