Full Membership Form 5785 - Form - Congregation Khal Chasidim

Please fill out the form below to purchase a full membership of Khal Chasidim for 5785.

* First Name

* Last Name

* Primary Phone Number

* Email Address

* Address

* City

* State

* Zip

1. Membership

Please choose a membership option below.

* Membership Option

Please Select OneFull Membership ($1,000) - includes one seat in the Men’s Section and one seat in the Ezras Nashim.Full Membership with a Table Shtender ($1,500) - includes one seat with a table shtender in the Men’s Section and one seat in the Ezras Nashim.Full Membership with a Standing Shtender ($2,000) - includes one seat at a standing shtender in the Men’s Section and one seat in the Ezras Nashim.To purchase an associate membership instead, please click here.

2. Yamim Noraim Seating

(One Men's Section seat and one Ezras Nashim (Women's Section) seat included in Full Membership).

Please indicate which seats you will be using for the Yamim Noraim, as well as any additional seats you would like to purchase.

* I will require a seat in the Men's Section for (check all days required):

Rosh Hashana Day 1Rosh Hashana Day 2Yom KippurNo Men's Section seat required.

* I will require a seat in the Ezras Nashim (Women's Section) for (check all days required):

Rosh Hashana Day 1Rosh Hashana Day 2Yom KippurNo Ezras Nashim seat required.

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: