Printed from ChabadGN.com

Become a Member

For non-members to purchase High Holiday seats click HERE >>>
We are updating our records. Please complete the entire form clearly.
All information will be kept confidential.
MEMBERSHIP BENEFITS
● 4 Free High Holidays tickets
● 5% Discount on Hebrew School Tuition Fee
● 5% Discount on Summer Camp Tuition Fee
● 5 % Discount on all Chabad Events Entrance Fee
● 10% Discount on all JLI Courses Fee
● A family member will get an honor during High Holidays Services
● A Chanuka menora & candles
● A complimentary box of Shmurah Matzah for Pesach
● No rental fee for your simcha at our waterfront
Full Name*
PrefixFirst NameLast Name
Hebrew Name*
Parents Hebew Name
Mother's NameFather's Name
Date of Birth*
E-mail*
Cell Number*
Area CodePhone Number
I would like to receive news and updates by email
Spouses Info
Full Name
PrefixFirst NameLast Name
Hebrew Name
Parents Hebew Name
Mother's NameFather's Name
Date of Birth
E-mail
Cell Number
Area CodePhone Number
Home Number*
Area CodePhone Number
Other Number
Area CodePhone Number

Address*

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

Wedding Anniversary
MonthDayYear
Child 1 Info
Hebrew NameFull NameD.O.B
Child 2 Info
Hebrew NameFull NameD.O.B
Child 3 Info
Hebrew NameFull NameD.O.B
Child 4 Info
Hebrew NameFull NameD.O.B
Pledge Opportunities*
Founder Membership - $18,000.00 (includes any prime seats of your choice for the family)Partner Membership - $10,000.00 (includes any prime seats of your choice for the immediate family)Donor Membership - $5,200.00 (includes center prime seats for parents and children)Supporter Membership - $2,600.00 (includes center seats for parents and children)Chai Membership - $1,800.00 (includes prime seats for parents and children)Family Membership - $1,770.00 (includes seats for parents and children)Single Parent & Seniors - $1,570.00
High Holiday Seats
Seat placement is not guaranteed.
Members who renew membership and High Holiday seating can reserve their placement from last year. This guarantee is limited so please reserve today.
To view the floor plan: CLICK HERE
Choose a seat based on the map above (optional)
High Holiday Seats
Membership entitles a member to 4 seats free of charge.
For additional names please fill in the information in the box below or call 516.654.6000
Number of High Holiday Seats*
1234
How many men seats*
How many women seats*
Please list all names of those attending
Full Name
Gender
MaleFemale
Full Name
Gender
MaleFemale
Full Name
Gender
MaleFemale
Full Name
Gender
MaleFemale
Addition names after 4, you must contact the office to make an additional payment, 516.654.6000
Total
$0.00
NO CANCELLATIONS | NO REFUNDS
Terms and Conditions*
I, the undersigned agree, understand and authorize the amount shown above to be charged to my credit card for the items shown on the referenced order. I understand these charges will appear on my credit card statement under my name and I accept full financial responsibility for payment of this order.I agree payments are non-refundable and services / merchandise have been rendered / delivered to my satisfaction.
By entering your email you are accepting the terms above*