Chabad of Greenwich Shul Membership We welcome you to join our membership family and enjoy being part of our wonderful community! Annual membership at Chabad corresponds to the Jewish Year. Membership should be renewed every year during August! YOUR INFO Name Hebrew Name Father's Hebrew Name Mother's Hebrew Name Occupation Birth Date Jewish by: Birth Choice Check One: Cohen Levi Israel SPOUSE'S INFO Name Hebrew Name Father's Hebrew Name Mother's Hebrew Name Occupation Birth Date Jewish by: Birth Choice Check One: Cohen Levi Israel PERSONAL INFORMATION Address City/State/Zip Home Phone Work Phone Work Fax Email 1 Email 2 Marital Status Please Select Single Married Divorced Widowed Anniversary Date / / CHILDREN Name Birth Date / / Name Birth Date / / Name Birth Date / / Name Birth Date / / Name Birth Date / / Name Birth Date / / YAHRZEIT INFORMATION Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship Name English / Hebrew / Father's Hebrew / Last / / Date of Passing Relationship MEMBERSHIP CONTRIBUTIONS - ANNUAL Membership Type: Single $1,800 Couple $2,500 Family $3,600 Paid in Full Paid in 2 equal installments, 1/2 now and 1/2 on March 2025 Paid in 10 monthly installments Card Details: Paying Via Mail in Check Credit Card Card Number Exp. Date Month January February March April May June July August September October November December Year 2023 2024 2025 2026 2027 2028 2029 2030 CVV Code Optional Comments: This page uses 128 bit SSL encryption to keep your data secure.
