Membership & High Holiday Seats

This year will be unlike any other. Our mission is to be here for you, and provide you with the most meaningful, authentic and uplifting High Holiday experience possible. To achieve this we will be providing a number of High Holiday Options, which you may view below.

Traditional High Holiday Services: Our cantor will lead us in socially distanced, but spiritually uplifting entire holiday service. There will be limited, socially-distanced seats available, and no walk-ins will be allowed. You must reserve a seat for each service you plan to attend in person. Masks will be required.

Spiritual Seats: For those who have always reserved a seat for the Holidays but will be unable to attend in person; we are offering you the option to still be part of our service. By purchasing your Spiritual Seats, the Chazzan will include your names in the prayers, and you will be helping support Chabad, thereby giving you the sense of belonging and the powerful Divine merit of Holiday attendance. All members who are not attending will automatically have their names included.

Please complete our membership form. If there are no changes from last year, you only need to complete required areas as well as membership/high holiday seat information.

*

Current MemberNew Member

Full Name*

First NameLast Name

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Birth Date

MonthDayYear

Born

DayEvening

Hebrew Birthdate

E-mail*

Family

CohenLeviYisroelConvert

Cell Number*

Area CodePhone Number

Home Number

Area CodePhone Number

Full Name

First NameLast Name

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Family

CohenLeviYisroelConvert

Cell Number

Area CodePhone Number

Home Number

Area CodePhone Number

Birth Date

MonthDayYear

Born

DayEvening

E-mail

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status

Anniversary Date

MonthDayYear

Full Name

First NameLast Name

Birth Date

MonthDayYear

Born

DayEvening

Please check

MaleFemale

Full Name

First NameLast Name

Birth Date

MonthDayYear

Born

DayEvening

Please check

MaleFemale

Full Name

First NameLast Name

Birth Date

MonthDayYear

Born

DayEvening

Please check

MaleFemale

Full Name

First NameLast Name

Birth Date

MonthDayYear

Born

DayEvening

Please check

MaleFemale

Full Name

First NameLast Name

Hebrew Name

Relationship

Date of passing

MonthDayYear

Time of Day

DayEvening

Full Name

First NameLast Name

Hebrew Name

Relationship

Date of passing

MonthDayYear

Time of Day

DayEvening

Full Name

First NameLast Name

Hebrew Name

Relationship

Date of passing

MonthDayYear

Time of Day

DayEvening

Membership Options*

Membership to be paid:*

In Full10 monthly payments

Comments or other payment arrangement you would like

A contribution of "chai" ($18 or multiples of "chai" per month is a great way to ensure continuous Tzedakah and help our fiscal responsibilities. The contribution you make will be charged to your card monthly.

I am not currently giving each month and would like to contribute monthly:

Please change my current monthly contribution to:

YOM KIPPUR

Online reservtions have ended.

Please call the shul office at 561-994-6257

Your credit card will not be charged until your membership form is processed by the office.

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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

MEMBER

SPOUSE (IF APPLICABLE)

PERSONAL INFORMATION

CHILDREN

YAHRZEITS (parents or children)

MEMBERSHIP PLAN

CHAI FOR LIFE

HIGH HOLIDAY SEAT RESERVATIONS

PAYMENT