Associate Membership Form 5785

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Please fill out the form below to purchase an associate membership of Khal Chasidim for 5785.

To purchase a full membership option instead, please click here.

* First Name

* Last Name

* Primary Phone Number

* Email Address

* Address

* City

* State

* Zip

1. Yamim Noraim Seating

Associate Membership - $600 - includes one seat for Yamim Noraim in either the Men's Section or the Women's Section.

* Seating Option:

Please Select OneOne seat in the Men's SectionOne seat in the Ezras Nashim (Women's Section).No seat required for the Yamim Noraim

2. Seating Options

Please indicate which days you will require your seat for the Yamim Noraim, as well as any additional seats you would like to purchase.

* I will require my seat for (check all days required):

Rosh Hashana Day 1Rosh Hashana Day 2Yom KippurNo seat required for the Yamim Noraim.

Additional Men's Section seats required ($100.00 each).

Additional Men's Section seats are required (check all that apply):

Rosh Hashana Day 1Rosh Hashana Day 2Yom Kippur

Additional Ezras Nashim seats required ($100.00 each).

Additional Ezras Nashim seats are required (check all that apply):

Rosh Hashana Day 1Rosh Hashana Day 2Yom Kippur

3. Year-Round Seating

* Please reserve the following for me:

Please Select OneOne year-round seat in the Men's SectionNo year-round seat reservations required(Year-round seats are included in membership at no extra cost).

Notes

Total charge for membership plus any additional seats:

Fri, August 29 2025 5 Elul 5785

Congregation Khal Chasidim | 6757 N Richmond St, Chicago, IL 60645

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