Annual Membership - Boca Beach Chabad Jewish Center

All levels of support are appreciated. If membership fees are beyond your budget, kindly contact the office to set up a plan that works for you.

YES! I would like to become an Annual Member:

$1,200 Single Membership (includes 1 High Holidays seat and recognition on our digital lobby display)$1,800 Family Membership (includes 2 High Holidays seats and recognition on our digital lobby display)

Membership Type*

I am renewing my membershipI am signing up as a new member

Note: This security fee is added to every membership to help ensure a safe and welcoming environment for all. This contribution supports the professional security and protective measures that keep our community secure.*

$180 Security Fee

MEMBER INFORMATION

Full Name*

First Name Last Name

E-mail*

I would like to receive news and updates by email

Cell Number*

Area Code Phone Number

Home Number

Area Code Phone Number

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Birth Date

Month Day Year

Born

AMPM

Family

CohenLeviYisroelConvert

SPOUSE INFORMATION (IF APPLICABLE)

Full Name

First Name Last Name

E-mail

Cell Number

Area Code Phone Number

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Birth Date

Month Day Year

Born

AMPM

PERSONAL INFORMATION

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Summer Address (if applicable)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status

Anniversary Date

Month Day Year

Have there been any updates to your personal information (such as a new address, a change in family status, or a recent loss)? If yes, please share the details below.

CHILDREN (IF APPLICABLE)

Number of Children:

CHILD 1

Full Name

First Name Last Name

Gender

MaleFemale

Birth Date

Month Day Year

Born

DayEvening

CHILD 2

Full Name

First Name Last Name

Gender

MaleFemale

Birth Date

Month Day Year

Born

DayEvening

CHILD 3

Full Name

First Name Last Name

Gender

MaleFemale

Birth Date

Month Day Year

Born

DayEvening

YAHRTZEIT INFORMATION & MEMORIAL PLAQUES

I would like to include the following number of Yahrtzeits:

YAHRTZEIT 1

Full Name

First Name Last Name

Hebrew Name

Relationship

Date of passing

Month Day Year

Time of Day

AMPM

Yahrtzeit Memorial Plaque Check this box if you'd like to reserve an engraved plaque on our Memorial Board. This includes a listing in our Yizkor book. (monthly payment plans available)

I'd like to reserve a memorial plaque for $1800

YAHRTZEIT 2

Full Name

First Name Last Name

Hebrew Name

Relationship

Date of passing

Month Day Year

Time of Day

AMPM

Yahrtzeit Memorial Plaque Check this box if you'd like to reserve an engraved plaque on our Memorial Board. This includes a listing in our Yizkor book. (monthly payment plans available)

I'd like to reserve a memorial plaque for $1800

YAHRTZEIT 3

Full Name

First Name Last Name

Hebrew Name

Relationship

Date of passing

Month Day Year

Time of Day

AMPM

Yahrtzeit Memorial Plaque Check this box if you'd like to reserve an engraved plaque on our Memorial Board. This includes a listing in our Yizkor book. (monthly payment plans available)

I'd like to reserve a memorial plaque for $1800

KIDDUSH SPONSORSHIP

Boca Beach Chabad Jewish Center's weekly Shabbat kiddush has gained a reputation for being second to none. To reserve a kiddush sponsorship to honor your special occasion, click here.

ERUV FEE

Click here to donate to the East Boca Eruv.

LEGACY SOCIETY

All Legacy Society Members will be recognized on our Legacy Society Donor Wall.

Yes! I am including Boca Beach Chabad Jewish Center in my will.Please have Howard Kaye reach out to me regarding the Boca Beach Chabad Charitable Giving Initiative

FEEDBACK

Please tell us how you heard about us:*

PAYMENT OPTIONS

Total

$180.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Membership to be Paid:*

In fullPlease have someone contact me to set up a payment plan

Payment

Credit Card Check

Please renew my membership automatically every year unless advised otherwise