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* First Name

* Last Name

Cell Phone

* Email Address

Spouse?

YesNo

* Spouse's Name

* Spouse's Cell

Please provide separate phone numbers for both spouses. If only the husband's number is listed, the wife may miss important N'shei event updates

* Spouse's Email Address

Please provide separate email addresses for both spouses. If only the husband's email is listed, the wife may miss important N'shei event updates

* Street Address

* City

* State

* Zip

Members of Family (Name, age, birthday):

Yahrtzeits (Name, relationship, date):

Membership Levels:

Elite Membership^{^}: $2100 ($175 per month) + $100 Mandatory Security Fee
1 Sponsored Kiddush of your Choice (dep. on availability, first come, first served)
Includes 6 seats for the Yomim Noraim

Family Membership^{*^}: $1300 ($108.33 per month) + $100 Mandatory Security Fee
Includes 4 seats for the Yomim Noraim

Young Member Family (under 30) / First Time Member Family- $750 + $100 Mandatory Security Fee
Includes 4 seats for the Yamim Noraim (and free babysitting/groups)
Individual Membership^{*^}: $700 + $50 Mandatory Security Fee
Includes 1 seat for the Yomim Noraim

Young Member Individual (under 30) / First Time Member Individual: $400 + $50 Mandatory Security Fee
Includes 1 seat for Yomim Noraim

Weekday Membership: $600 (No Seats for Yomim Noraim)

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

Seats Only for Rosh Hashanah and Yom Kippur (as well as extra seats for Elite, Family and Individual membership levels):
Guests - $180, Students - $118, Children (<18) - $75
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 Efrem Popel at membership@mikorhachaim.org or 773-764-6353

* Membership Type

Please Select OneElite Membership ($2100)Family Membership ($1300)Young Member Family (under 30)/First Time Member Family ($750)Individual Membership ($700)Young Member Individual (under 30) / First Time Member Individual ($400)Weekday Membership ($600)Associate Membership ($360)Seats Only

Seating Reservation is closed for this year, please contact Efrem Popel directly if you need to make changes or still need to reserve a seat.

Babysitting
Sign up for babysitting for Rosh Hashanna and Yom Kippur. The cost is $10 per child, $30 total for family.
We will have babysitting for 3mo - 3 years old and regular groups for 3 years old+.

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 First Name

* Child's Last 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

Simchas Torah Contributions

If you would like to make your Simchas Torah commitments early, please choose the corresponding boxes below.

Building Fund
Our beautiful building is maintained by people like you. Join our Building Fund and get a personalized Shtender.

Platinum Level - $3000 includes shtender

For those who choose Platinum 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

Security Fee Family Membership: $100 (included)

Security Fee Individual- $50

Would you like to contribute to our Rabbis' Discretionary Fund?

The Rabbis are collecting for families in need in our community, please contribute generously. May it be a zechus for you and your family at this time of year.

Rabbi Phil Karesh, Shlita

Membership

Seating Reservation is closed for this year, please contact Efrem Popel directly if you need to make changes or still need to reserve a seat.

Additional Donations