Membership 5779 Signup

* First Name

Spouse Name

* Last Name

* Street Address

* City

* State

* Zip

Home Phone

Husband Cell

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* Email Address

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Early Bird pricing ended 8-22-2018

Membership Levels:

Elite Membership: -~$163/month or $1950

1 Sponsored Kiddush of your Choice (dep. on availability, first come, first served)

1 Sponsored Shalosh Seudos of your Choice (dep. on availability, first come, first served)
Includes 6 seats for the Yomim Noraim

Family Membership: ~$96/month or $1150

Includes 4 seats for the Yomim Noraim

Individual Membership: $$50/month or $600
Includes 1 seat for the Yomim Noraim

Weekday Membership: $425 (No Seats for Yomim Noraim)

Associate Membership: $360 (No Seats for Yomim Noraim)

Note: Family membership is for married couples and families while individual membership is designated for unmarried individuals. Weekday and Associate Memberships are for those for whom Mikor is not their primary shul.

If you have any other questions regarding seats for Rosh Hashanah and Yom Kippur or membership please contact Tamar Mishkin in the office at secretary@mikorhachaim.org or 773-856-0103

* First time members receive $250 off Elite, Family or Individual memberships

First time members should type in discount code "FIRSTTIME" on payment page to receive a $250 discount on membership.

Your membership includes 6 seats. How many of these seats will you be using this year?

Your membership includes 4 seat. How many of these seats will you be using this year?

Your membership includes 1 seat. How many of these seats will you be using this year?

Do you need additional seats?

Guest Seats ($180)

Student Seats ($118)

Child Seats ( until 17) ($75)

Choose Your Seats

Please complete the section below to ensure seating accommodations are made for everyone in your family/group.

Name - Enter each person in your group on a separate line. For additional lines, increase the number of additional seats specified above.
Location - Select the location - men or women sections
When - Please let us know if you will be here for both Rosh Hashana and Yom Kippur.
Notes - Seating requests, etc. Please indicate any requests for seats as e.g. 'A1', 'U2' front, back, etc. Please note that while we will try, we cannot guarantee that your request will be met.

Seating Charts: Men Women

Who needs seats?

	* Name	Location	When	Notes

Babysitting
Sign up for babysitting for Rosh Hashanna and Yom Kippur. The cost is $10 per child, $30 total for family.

Note: Youth groups are open to children ages 3-10 (Pre-nursery-5th grade). The parent-tot room for children under three years old will also be available. Please note this room is not supervised by a youth group leader.

Select the number of children to be signed up

Enter the name and age of each child. Click on the plus sign to add additional rows.

Child's Name

Age

Additional Donations

If you would like to make additional donations bundled with your membership payment, please enter them below.

Yizkor

Security

Youth Groups

Building Fund
Our beautiful building is maintained by people like you. Join our Building Fund and get a personalized Shtender or Cubbie! More info on the cubbies coming soon.

Platinum Level - $3000 includes cubbie
Diamond Level - $4500 includes cubbie and shtender

For those who choose Platinum or Diamond Level and would like to split payments over more than 12 months, please contact the office at secretary@mikorhachaim.org or 773-856-0103.

Building Fund

Sun, October 21 2018 12 Cheshvan 5779