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Membership

Membership

Chabad Lubavitch of Sarasota & Manatee Counties

Membership Application

Date:

First Name:  Hebrew Name:

Last Name: Birthdate:

Spouse's Name:          Hebrew Name:

Email Address: 
Spouse Email Address:

Address:

City: State: Zip:

Home Phone:    Work Phone:

Aliya Information

Parent's Heb. Name (father):  (mother):

Spouse's Heb. Name (father):  (mother):

Kohein             Levite:               Israelite

Children

Name:     Hebrew:    Birthdate: 

Name:     Hebrew:    Birthdate:

Name:     Hebrew:    Birthdate: 

Yaertzeit

Name: Hebrew:

Relationship:  Date of Death:

 

Name:        Hebrew:

Relationship:    Date of Death: 

 

Name:    Hebrew:

Relationship:    Date of Death:

 

Name:    Hebrew:

Relationship:   Date of Death: 

Membership Dues

Our annual membership cycle begins May 1, and ends April 30. 

Please check one of the following:

Lifetime Membership: $10,000 per year

Rabbi's Circle: $2,500 per year

Gold Circle: $1,800 per year

Sponsor: $1,500 per year

Benefactor: $1,380 per year

Family Membership: $1000 per year

Single Membership: $800 per year

Family Under 29: $450 per year

Single Under 34: First year, $350;  Second year, $475;  Third year, $600

Family Under 34: First year, $600;  Second year, $700;  Third year, $800

Other 

Method of Payment:

 In Full                       4 Installments                       7 Installments

Please click here for our secured credit card payment page, or mail a check to: Chabad of Sarasota,  
7700 Beneva Road, Sarasota, FL 34238

 

Thank you for joining