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2024-2025 Temple Chai Membership Form
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2024-2025 Membership
(7/1/24 - 6/30/25)
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
Employed
Unemployed
Retired
Student
*
Birthday
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Gender
N/A or Unknown
Male
Female
Occupation
Adult 2 First Name
Adult 2 Last Name
Adult 2 Email
Adult 2 Mobile Phone
Employment Status
Employed
Unemployed
Retired
Student
Birthday
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Gender
N/A or Unknown
Male
Female
Occupation
Wedding Anniversary, if applicable
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip
Child 1 - First Name
Child 1 - Last Name
Date of Birth
Gender
N/A or Unknown
Male
Female
Child 2 - First Name
Child 2 - Last Name
Date of Birth
Gender
N/A or Unknown
Male
Female
Child 3 - First Name
Child 3 - Last Name
Date of Birth
Gender
N/A or Unknown
Male
Female
Child 4 - First Name
Child 4 - Last Name
Date of Birth
Gender
N/A or Unknown
Male
Female
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?
*
Membership rates are based on the oldest member of your household, please check the Membership type below
One Adult Household - Age 26 - 32 ($350)
One Adult Household - Age 33 ($550)
One Adult Household - Age 34 ($950)
One Adult Household - Age 35 ($1,450)
One Adult Household - Age 36 and more ($1,850)
One Adult - Up to Age 25 (Free)
One Adult - Active Military (Free)
Two Adult Household - Age 26 - 32 ($650)
Two Adult Household - Age 33 ($950)
Two Adult Household - Age 34 ($1,550)
Two Adult Household - Age 35 ($2,450)
Two Adult Household - Age 36 and more ($3,250)
Two Adult Household - Up to age 25 (Free)
Two Adult Household - Active Military (either adult - Free)
*
These annual fees are paid by all members:
Security Fee $240
Building Maintenance Fund $275
Please consider making a donation to the EcoChai Fund (to support sustainability activities at the temple)
Donation - $18
Donation - $36
Donation - $72
Please consider making an additional donation to the General Fund
Lev b’Lev Fund to assist those who cannot afford the full level of temple dues commitment.
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 2024 - 2025
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, Building 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 - $17,300
Diamond 1 Adult - $8,850
Platinum - $12,900
Platinum 1 Adult - $6,350
Gold - $7,950
Gold 1 Adult - $4,350
Silver - $6,700
Silver 1 Adult - $3,700
Bronze - $5,150
Bronze 1 Adult - $3,200
Fri, April 25 2025 27 Nisan 5785
