Membership Renewal Form

The membership fee will be charged September 1st.

Full Name*

First Name Last Name

E-mail*

Cell Phone

Area Code Phone Number

Has any of your personal information changed since last year?*

YesNo

Please Select:

Update my addressUpdate my emailUpdate my spouse emailUpdate spouse cell phone

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email

Spouse Email

Spouse Cell Phone

Area Code Phone Number

Please Select:

$1800 Family Membership (Or $150/Monthly)

The Chai Society

The actual cost to Chabad for providing meaningful programs, services, and community support is significantly higher than the membership amounts we request. In our effort to be inclusive and welcoming to families of all income levels, we’ve created a range of membership options to make participation accessible to all. If you are in a position to contribute at a higher level especially by joining the Chai Society your generosity allows us to continue offering outstanding educational, religious, and social programming for the entire community. It also helps us grow and invest in our long-term vision. All membership contributions can be made in one installment or through 12 monthly payments. Please choose the level that works best for your family. No one will ever be turned away due to lack of funds.The CHAI SOCIETY Members are the pillars of our community. It is because of you that we can continue to offer the highest level of educational, religious and social programming, and making this all available to all, regardless of their ability to pay.

Please Select:

Chai Donor: $5,000 (Or $416/Monthly)Chai Partner: $10,000 (Or $833/Monthly)Chai Rabbi's Circle: $18,000 (Or $1500/Monthly)Chai Leadership Circle: $36,000 (Or $3000/Monthly)

Payment Options

Full Payment2 Equal Payments (one now, one December 26th)12 Monthly Payments

Please Select

Card on FileNew Credit Card

Authorization*

I authorize Chabad to automatically charge my card on file based on my selected payment plan.

Name on Card*

Credit Card Number*

Security Code*

Expiration Date*

Zip Code*

I would like to receive news and updates by email

General Membership