2023-24 Membership Form - Form - Temple Chai

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2023-24 Membership Form

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2023-2024 Membership
(7/1/23 - 6/30/24)

Thank you for becoming a member at Temple Chai.
Please complete the information below. Once we receive your form, we will follow-up with next steps.

* Adult 1 First Name

* Adult 1 Last name

* Adult 1 Email Address

* Adult 1 Mobile Phone

Employment Status

EmployedUnemployedRetiredStudent

* Birthday

Adult 2 First Name

Adult 2 Last Name

Adult 2 Email

Adult 2 Mobile Phone

Employment Status

EmployedUnemployedRetiredStudent

Birthday

Wedding Anniversary, if applicable

* Address

* City

* State

* Zip

Child 1 - First Name

Child 1 - Last Name

Date of Birth

Child 2 - First Name

Child 2 - Last Name

Date of Birth

Child 3 - First Name

Child 3 - Last Name

Date of Birth

Child 4 - First Name

Child 4 - Last Name

Date of Birth

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

For the Yahrzeit(s) above, do you prefer to be notified by English or Hebrew date?

* Based on your Household please check the Membership type below

One Adult Household - Age 26 - 32 ($300)One Adult Household - Age 33 ($500)One Adult Household - Age 34 ($900)One Adult Household - Age 35 ($1,350)One Adult Household - Age 36 and more ($1750)One Adult - Up to Age 25 (Free)One Adult - Active Military (Free)Two Adult Household - Age 26 - 32 ($600)Two Adult Household - Age 33 ($900)Two Adult Household - Age 34 ($1,450)Two Adult Household - Age 35 ($2,300)Two Adult Household - Age 36 and more ($3050)Two Adult Household - Up to age 25 (Free)Two Adult Household - Active Military (either adult - Free)

* Security Fee $136

Security Fee $136

* Building Maintenance Fund $250

Building Maintenance Fund $250

Please consider making a donation to the EcoChai Fund (to support sustainability activities at the temple)

Donation - $18Donation - $36Donation - $72

Please consider making an additional donation to the General Fund

Special Considerations

We welcome members regardless of income level. If your financial situation is such that you are unable to contribute the above minimum annual commitment amounts, please contact Wendy Cohen, Executive Director, at 602-971-1234 or wcohen@templechai.com to discuss alternative options.

Rabbi's Circle 2023 - 2024

The members of the Rabbi’s Circle represent the financial pillars of our community. Those blessed with the ability to contribute beyond their annual membership commitment help to ensure the financial stability of Temple Chai, secure our ability to attract and retain world-class clergy, and allow us to deliver the care, programming, and services that are the hallmark of our community. The Rabbi’s Circle ensures that those who face serious financial challenges are able to be part of Temple Chai and can raise their children here.

Annual Membership Dues, Maintenance Fund, and Security Fee are included in the Rabbi’s Circle levels listed below. In addition, members of our Rabbi's Circle will be invited to special events throughout the year.

Please review and check the level you would like to commit to below and we will reach out to you to discuss any questions you may have.

Rabbi's Circle Levels to Consider:

Diamond - $16,600Diamond 1 Adult - $8500Platinum - $12,200Platinum 1 Adult - $6,000Gold - $7,250Gold 1 Adult - $4,000Silver - $6,000Silver 1 Adult - $3,350Bronze - $4,550Bronze 1 Adult - $2,850

Thu, May 9 2024 1 Iyar 5784

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