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Members 2024-25

Full Name*

First Name Last Name
Please Select: *

Returning Members with no changes to info on fileReturning Members with changes to info on fileI/we are new members
E-mail*

Address*

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

Community Name*

Second Address

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

Home Phone Number

Area Code Phone Number
Cell Phone Number*

Area Code Phone Number
Spouse's Name

First Name Last Name
Spouse's E-mail
Membership Dues 2024-2025
Executive Membership Levels

$100,000 Executive Capital Campaign Leadership Committee (3-year pledge) Member Executive Committee; Regular Briefings as Member of Planning Strategy Committee Capital Campaign$36,000 Executive Member- Includes: 5784 Naming Sponsorship of a Kollel Class. All annual dues, all paid classes/events$18,000 VIP Member Includes; Naming of Shabbat Children's Groups, All Annual Dues. All paid registration/tickets, events/classes. VIP listing on all community fundraisers.
Executive Membership Tiers

Executive Capital Campaign Leadership Committee (3 year pledge) - $100,000Executive Member - $50,000Premier Member - $36,000VIP Member - $15,000
Full Time Residents

Family (Includes 2 High Holiday Tickets) - $1,450Single Dues (includes 1 High Holiday ticket) - $725
Part-Time Residents Less than 4 months in Florida

Family - $850Single - $450
Annual Fees Applies To All Membership Categories

$500 CAMPUS ARMED SECURITY$180 ANNUAL MAINTENANCE COMMUNITY ERUV, MIKVAOT, KOLLEL$2000 CAMPUS EXPANSION CAMPAIGN (2 year payment option)
Annual Community Dues:

Annual Maintenace - $180Security - $500Campus Expansion - $2,000
Annual Community Dues: For all who benefit from these services/institutions or wish to support them

Women's and Keilim Mikvah - $180
Annual Community Dues: For all who benefit from these services/institutions or wish to support them

City Eruv - $180
All Members

2022-'23 Capital Campaign - $2000 (payable over 4 years)Security Fee - $500
All Members

Security Fee - $500
Additional High Holiday Seats - Members $180/seat
High Holiday Seats - Non-Members $275/seat
High Holiday Seats
Total Men Seats
Total Women Seats
Please Select

Rosh HashanahYom KippurNot Using Above Seats On Rosh HashanahNot Using Above Seats On Yom Kippur
YES! Please list my name on the 5784 New Year Card of Greeting to the community - $18
$50 - Jewish Women's Circle Annual Membership
High Holiday Children Groups Ages 3 - 12 Pre-Registration

$50 PER CHILD
Number of Children Enrolling
First Names and Ages of Children
Yahrzeit Information

Full English and Hebrew name, family name and relationship.
This Yizkor booklet will be used at Yizkor services on Yom Kippur, Sukkot, Passover & Shavuot 5785.
ALL NAMES WILL BE TRANSLITERATED AND PRINTED IN ENGLISH
Full Name

English Name Hebrew Name Last Name
Father's Name
Date of Passing

Month Day Year
Please Select

AMPM
Relationship
Full Name

English Name Hebrew Name Last Name
Father's Name
Date of Passing

Month Day Year
Please Select

AMPM
Relationship
Full Name

English Name Hebrew Name Last Name
Date of Passing

Month Day Year
Please Select

AMPM
Relationship
Please list my above departed loves ones in the 5784 Yizkor Memorial Booklet at $18 per name.
Please Contact Me Regarding Yahrzeit Plaques To Be Installed In Perpetuity, Main Sanctaury
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

10% discount on membership fees if received by 8/14/2024. 5% discount if received by 9/1//24.
All memberships due 9/22/24 RH 5785 - 10/2/2024
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