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Partnership-Membership Form

  • 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 

    Credit Card
    Please send your check to Chabad of Pinellas County 3696 Fisher Rd. Palm Harbor FL 34683
    Billing Address

    If there is no new information since the last time you filled out the form, just enter your name and email
  • Spouse (If Applicable)


  • CHILDREN (If Applicable)

  • Should be Empty:
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