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MEMBERSHIP CAMPAIGN 5786

We are very proud of the Membership Family of Chabad of Port Washington. We currently have 220 families and working towards 250 by the end of the holidays. We welcome you to join our growing family and enjoy being part of our wonderful community!

Members enjoy special valuable benefits. See the list below for the exciting new perks of becoming a Chabad of Port Washington member!

GENERAL MEMBERSHIP:

$2,100 Family Membership (or $175/monthly)
$3,000 Upgraded Membership (or $250/monthly)
$1,750 Single Parent Family (or $145/monthly)
$1,400 Single Membership (or $116/monthly)

For new members, first year is discounted 50%

Please note: Security fee $250 for all categories

CHAI SOCIETY MEMBERSHIP:

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. In appreciation, Chai Society Members are listed on the Chabad Letterhead and website, are entitled to a complimentary table of 10 at the Chabad bi-annual Gala Dinner, and are invited to an exclusive Chai Society annual appreciation dinner.

CHAI Donor: $5,000 (or $416/monthly)
CHAI Partner: $10,000 (or $833/monthly)
CHAI Rabbi's Circle: $18,000 (or $1,500/monthly)
CHAI Leadership Circle: $36,000 (or $3,000/monthly)

Rabbi Paltiel will be happy to meet with you to share a presentation, so you can see the impact of your support.

Membership Benefits:

• Listings of departed loved ones in Yom Kippur YISKOR booklet
• Complimentary tickets to Annual Membership Shabbat Dinner
• Entitled to a Lulav & Etrog set for Sukkot
• Discount on Preschool (as per Preschool Enrollment Form)
• Discount on Hebrew School tuition
• Discounts on all Chabad events and programs including JLI, Shabbat Dinners, Passover Seders, and more
• Discount on Bar/Bat Mitzvah fees (after 1st year of membership)
• Menorah & Candles kit mailed to your college age children at school
• Shiva service
• Use of the Social Hall (Limit once annually. Subject to availability and restrictions. Works well for small event such as bris, baby naming, sheva brachot). Must use glatt kosher caterer approved by the rabbi. Responsible for $250 custodial fee.
• 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 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
 

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
Membership: $2,100 Family Membership (or $175/monthly)
 $3,000 Upgraded Membership (or $250/monthly)
$1,750 Single Parent Family (or $145/monthly) $1,400 Single Membership (or $116/monthly) 
I'm a new member. Please charge me 50% of the above fee schedule
 
Chai Society Membership Packages: Donor: $5,000  Partner: $10,000 Rabbi’s Circle: $18,000 Leadership Circle $36,000
Payment Method:   Card Details:

One lump sum  

Card Type:
Monthly Payments   Total Amount being charged today:
I will pay by check   Card #:
      Exp. Date
      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.

All of the programs of Chabad of Port Washington are open to all people, regardless of race, color, religion or national origin