Partnership-Membership

Name Your Own Price Membership

Feel Free to Pay What you think we are worth or what you can afford!
Here Are Some Suggestions:
* Any Membership Gift includes two High Holiday Seats

Pick One*

$54 per month/ $648 per yr. - Bronze member -Thank you for your support!$72 per month/ $864 per yr. - Silver Member - Get a Special Donor Appreciation$100 per month / $1200 per yr - Gold Member - The Above Plus a box of Shmurah Matza$136 per month / $1632 per yr. - Platinum Member - All of the Above Plus a Mezuza$180 per month / $2160 per yr. - 10X Chai! -All of the Above Plus one basic KiddushBe a Pillar of YIChabad for just $18x18 = $324 a month ($3,888 yr.)! This includes a plaque on the Memorial Board or two plaques on the Tree of Life

would like to support Security @ Chabad

$228 Guard for one week$912 Guard for 4 Weeks$3648 Guard for 16 Weeks

Please Choose From The Following Payment Plans*

MonthlyPay All At Once

Payment*

Credit Card Check

Postal / Zip Code

Country

Full Name*

First Name Last Name

E-mail*

Hebrew Name

Jewishness

From BirthConvertNot Jewish

Family

KohenLeviYisroel

Occupation

Cell Number

Area Code Phone Number

Work Number

Area Code Phone Number

Home Number

Area Code Phone Number

Birth Date

Month Day Year

Before or After Sunset

For Hebrew Date Calculation

Marital Status

Anniversary Date

Month Day Year

Full Name

First Name Last Name

Hebrew Name

Jewishness

From BirthConvertNot Jewish

Family

KohenLeviYisroel

Occupation

Cell Number

Area Code Phone Number

Work Number

Area Code Phone Number

Home Number

Area Code Phone Number

Birth Date

Month Day Year

Before or After Sunset

E-mail

Father

Month Day Year

Before or After Sunset

Mother

Month Day Year

Before or After Sunset

Father of Spouse

Month Day Year

Before or After Sunset

Mother of Spouse

Month Day Year

Before or After Sunset

Full Name

First Name Last Name

Birth Date

Month Day Year

Before or After Sunset

Full Name

First Name Last Name

Birth Date

Month Day Year

Before or After Sunset

Full Name

First Name Last Name

Birth Date

Month Day Year

Before or After Sunset

Full Name

First Name Last Name

Birth Date

Month Day Year

Before or After Sunset

Comments, Notes Or More Info.

I would like to receive news and updates from Chabad of Pinellas County by email. I understand that information I provide to Chabad of Pinellas County will be used according to its Privacy Policy and I can unsubscribe at any time.

Partnership-Membership Form

PERSONAL INFORMATION

Spouse (If Applicable)

YAHRTZEITS

CHILDREN (If Applicable)