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

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

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*

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Comments

Holiday Date

Spouses Info

High Holiday Seats