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Chai Partnership Information

Please note, Chabad @ the Beaches does not require anyone to have to pay membership to participate in any services. However, your contributions are what helps keeps our lights on. Becoming a Chai partner makes you and your family a partner in helping to bring Judaism Ponte Vedra and the Jacksonville Beaches.

Membership and tickets are never required for High Holiday services. All are always welcome!

SECTION I: YOUR INFO

SECTION II: SPOUSE'S INFO

Name

  

Name
 

SECTION III: PERSONAL INFORMATION
Address   Email 1
City/State/Zip   Email 2
Home Phone   Marital Status
 

SECTION IV: CHILDREN

Name

  

Birth Date

 / / After Sundown?
MM / DD / YYYY format

Name

  

Birth Date

 / /
After Sundown?
MM / DD / YYYY format

Name

  

Birth Date

 / /
After Sundown?
MM / DD / YYYY format
 
SECTION V: PARTNERSHIP SUGGESTED CONTRIBUTIONS
Monthly Annualy

Platinum: $1,500

Platinum: $18,000

Gold: $300 - $300

 $3,600-$6,000

Chai: $180 - $250

$2,160 -$3,000

Family: $100 -$180

$1,200 - $2,160  

Single or Single Parent Family: $54 -$100

$648 - $1,200

Associate Partnership

Donation of your choice

Payment Options:

One full payment of  

Please charge my:

Visa M/C AMEX
  Quarterly payments each   Card #:
  Monthly payments of each   Exp. Date

Payment Method:

Credit Card
Check is in the mail
Please bill me 		  Optional Comments:

No one is turned away for lack of funds. Donations are NEVER required but ALWAYS appreciated.