Membership

Member Info

Name(Required)

First Last

Email(Required)

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Membership: $1,200 Family

Membership includes a guaranteed seat for you and a spouse. If you would like to have additional seats or guaranteed seats for your children, please select below.

Minyan Preference(Required)

Main Shul/Classic

Tent Shul/Express

Total Men & Boys Seats
Please indicate the total number of seats —including any guaranteed child or guest seats added below— desired on the men’s side (leave blank if you will be out of town). While not guaranteed, we will try to accommodate as much as possible.

Rosh Hashana

Yom Kippur

Total Women & Girls Seats
Please indicate the total number of seats —including any guaranteed child or guest seats added below— desired on the ladies side (leave blank if you will be out of town). While not guaranteed, we will try to accommodate as much as possible.

Rosh Hashana

Yom Kippur

Children’s Guaranteed Seats (+ $50 ea.)
Select an amount here if you want to guarantee seats for you children

Boy's Seat/s

Price: $50.00

Girl Seat/s

Price: $50.00

Additional Guest Guaranteed Seats (+ $180 ea.)

Men's guest seats RH

Price: $0.00

Men's guest seats YK

Price: $0.00

Women's guest seats RH

Price: $0.00

Women's guest seats YK

Price: $0.00

Notes

Total

Payment Method(Required)

If a method other than credit card is selected, instructions for payment will be provided on the next page

Payment Installments

One-Time Payment (pay now in full)

Monthly Payments (pay over 12 months)

Installments are for the membership only. Children’s and Guest’s seats will be part of initial charge.

Membership

Price:

Credit Card

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Expiration Date

Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.