2026-27 Current Member's Partnership Renewal Form & High Holidays RSVP

HIGH HOLIDAYS SEATING RSVP
Your Full Name*
First Name Last Name
Cell Number*

Area Code Phone Number
E-mail*
Please list your name and your immediate family members, including children who will need seating for the High Holidays. Within a few days of submitting your form, you will receive an email with a code and instructions on accessing the reservation system.
TOTAL number of Immediate Family Seats you need for the High Holidays*
YOUR Name
First Name Last Name
Name of 2nd Immediate Family Member
First Name Last Name
Name of 3rd Immediate Family Member
First Name Last Name
Name of 4th Immediate Family Member
First Name Last Name
Name of 5th Immediate Family Member
First Name Last Name
Name of 6th Immediate Family Member
First Name Last Name
Name of 7th Immediate Family Member
First Name Last Name
Name of 8th Immediate Family Member
First Name Last Name
MEMBER'S PARTNERSHIP OPPORTUNITIES
Partnership Options*

*Chai Platinum $500 Monthly*Chai Platinum $5,000 Payment in Full*Chai Gold $300 Monthly*Chai Gold $3,000 Payment in Full*Family $217 Monthly ($2,604 total)*Family $2,400 Payment in Full*Seniors (70+) or Single Parent $162 Monthly ($1,944 total)*Seniors (70+) or Single Parent $1,780 Payment in Full
*

I would like to help Chabad and add an additional 10% to the 2026/2027 partnership rates listed above.Please charge me the posted partnership rates for 2026/2027 listed above.Due to my financial difficulties, please deduct 10% from the 2026/2027 rates listed above.
MEMBERSHIP PAYMENTS:

All forms must be received by our office no later than August 27, 2026.

Payment in Full is a discounted option.

All options include seats.
Please select your payment type from the following options.*

For monthly payments, please charge on the 1st of each month.For monthly payments, please charge on the 15th of each month.Please charge my card for the full membership amount selected.I will be submitting check payment for the full membership amount selected.
I agree to pay the annual security fee of $285 upon submission of this form.*

$285
Total

$0.00

Payment today is by credit card*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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HIGH HOLIDAYS SEATING RSVP

MEMBER'S PARTNERSHIP OPPORTUNITIES