Membership and High Holidays 5786/7, 2026-27’

10% off all Membership Submissions by 7/15/26
GENERAL MEMBERSHIP REGISTRATION 2026-2027
1. Member Information
Full Name*
First Name Last Name

Address*

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

Community Name:*
E-mail*

Second Address

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

Phone Number*
2. Membership Options
Date

Month Day Year
at Hour Minutes
All Family Memberships include two High Holiday seats. Single Membership includes one High Holiday seat.
Family - $1,750Seasonal Family - $1,000Single - $875Seasonal Single - $500Additional High Holiday Seats - $250 eachVacation Home, Family - $750Family Assistance Rate (2+ Children at Home) - $1,000Vacation Home, Single - $360
Family - $1,750Seasonal Family - $1,000Single - $875Seasonal Single - $500Additional High Holiday Seats - $250 eachVacation Home, Family - $750Family Assistance Rate (2+ Children at Home) - $1,000Vacation Home, Single - $360
Family - $1,750Seasonal Family - $1,000Single - $875Seasonal Single - $500Additional High Holiday Seats - $250 eachVacation Home, Family - $750Family Assistance Rate (2+ Children at Home) - $1,000Vacation Home, Single - $360
How many additional High Holiday Seats you'd like to avail?
How many additional High Holiday Seats you'd like to avail?
How many additional High Holiday Seats you'd like to avail?
3. Building Fund - Campus Expansion Dues
New Members - $2,500 (Payable over 5 years)Existing Members - $500 (In addition to any outstanding balance)
4. Executive Membership
VIP Membership - $18,000 (Includes all dues, registration, tickets, events, classes, & VIP recognition)
5. Annual Community Fees
$750 - Campus Armed Security$200 - Maintenance for Eruv, Mikvaot & Kollel$36 - Listing 5787 Community New Year's Card$75 - Shabbat Youth Groups$75 - Jewish Women's Circle Membership
6. Yahrzeit Information
Full English & Hebrew Name (written in English), family name & relationship.
Number of Yahrzeit Information you'd like to put:
Full Name
First Name Last Name
Date of Passing:
Full Name
First Name Last Name
Date of Passing:
Full Name
First Name Last Name
Date of Passing:
Full Name
First Name Last Name
Date of Passing:
Full Name
First Name Last Name
Date of Passing:
Please contact me regarding Yahrzeit Plaques in perpetuity to be affixed in main sanctuary
7. High Holiday 5787 Reservations
Members
Number of Men:
Number of Women:
Rosh HashanaYom KippurNot Attending
Names of Additional Adults:
Children's Names & Ages:
Non-Members High Holiday Reservations
$300 per seat
Number of Men:
Number of Women:
Rosh HashanaYom KippurNot Attending
Names of Additional Adults:
Children's Groups Ages 3-12
$75 per child (members) & $120 per child (non-members)
Are they a member?

YesNo
Number of Children:
Children's Names/Ages
Number of Children:
Children's Names/Ages:
Please choose if you'd like to register for either or both Yizkor Memorial Book 5787 & advertise in the Jewish Community Art Calendar 5787

Yizkor Memorial Book 5787Advertise in the Jewish Community Art Calendar 5787No
YIZKOR MEMORIAL BOOK 5787
Please inscribe the following dear departed in Chabad's 5787 Yizkor Memorial Book @ $18 per name
ALL NAMES WILL BE TRANSLITERATED AND PRINTED IN ENGLISH
Total number of name listings:
Hebrew Name 1 (in English)
Father's Hebrew Name 1 (in English)
Family Name 1
Being remembered by 1 (Full Name)
Hebrew Name 2 (in English)
Father's Hebrew Name 2 (in English)
Family Name 2
Being remembered by 2 (Full Name)
Hebrew Name 3 (in English)
Father's Hebrew Name 3 (in English)
Family Name 3
Being remembered by 3 (Full Name)
Hebrew Name 4 (in English)
Father's Hebrew Name 4 (in English)
Family Name 4
Being remembered by 4 (Full Name)
Hebrew Name 5 (in English)
Father's Hebrew Name 5 (in English)
Family Name 5
Being remembered by 5 (Full Name)
Remembered By:
Full Name
First Name Last Name

Address

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

Phone Number
E-mail
Advertise in the Jewish Community Art Calendar
New Year 5787

BE SEEN. BE PROUD. BE CONNECTED.
Be seen by thousands, daily!
Connect with your extended Jewish "family"
PUBLICIZE YOUR BUSINESS
5787 Corporate Sponsor - $5,000 (back cover)Inside back cover - $2,500Inside front cover - $3,600Half page centerfold - $1,250Full page centerfold - $2,600Monthly top banner 1 month - $750Business card 1 month - $250Business card 3 months - $500Business card 12 months - $750
Preference of month(s)
Please call me with ad specs and pricing
Please use same information, including artwork, as prior
MAKE YOUR PERSONAL DATES SPECIAL
Full Name
First Name Last Name

Address

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

Phone Number
Pay public tribute to a loved one. Memorialize them on their Yahrzeit date.
Celebrate a birthday, anniversary or special occasion.
$36/each date. $100 for 4 dates.
Occasions are printed on actual calendar date (additional listings on back). Please provide full names.
1
2
3
5
6
7
9
10
Number of date listings:
4
8
Type:
Full Name 1
First Name Last Name
Date

Month Day Year
Type:
Full Name 2
First Name Last Name
Date

Month Day Year
Type:
Full Name 3
First Name Last Name
Date

Month Day Year
Type:
Full Name 4
First Name Last Name
Date

Month Day Year
Type:
Full Name 5
First Name Last Name
Date

Month Day Year
Type:
Full Name 6
First Name Last Name
Date

Month Day Year
Type:
Full Name 7
First Name Last Name
Date

Month Day Year
Type:
Full Name 8
First Name Last Name
Date

Month Day Year
Type:
Full Name 9
First Name Last Name
Date

Month Day Year
Type:
Full Name 10
First Name Last Name
Date

Month Day Year
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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GENERAL MEMBERSHIP REGISTRATION 2026-2027

1. Member Information

2. Membership Options

3. Building Fund - Campus Expansion Dues

4. Executive Membership

5. Annual Community Fees

6. Yahrzeit Information

7. High Holiday 5787 Reservations

Members

Non-Members High Holiday Reservations $300 per seat

YIZKOR MEMORIAL BOOK 5787

Advertise in the Jewish Community Art Calendar New Year 5787

PUBLICIZE YOUR BUSINESS

MAKE YOUR PERSONAL DATES SPECIAL

Non-Members High Holiday Reservations
$300 per seat

Advertise in the Jewish Community Art Calendar
New Year 5787