google7763d8541a777e36.html

We Are Open for Services! Please check the Weekly Update for news. more...

Printed fromChabadatLaCosta.com

ב"ה

About Us Giving Opportunities

Membership

Membership in Chabad at La Costa means that you partner with us in bringing authentic Jewish values to our area, whether that be financially or through volunteering. The money we raise via Membership covers much of our operating budget. Every penny contributed stays right here, working in our community, benefiting everyone. Literally thousands of lives were touched in a positive way through our activities this past year. But there is so much more to do.
Chabad at La Costa is a 501(c)(3) nonprofit organization. All charitable contributions are tax-deductible. You will receive a tax receipt by email or direct mail unless otherwise noted below.
* Denotes required field
Head of Household
Full Name*
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
E-mail* For Your Receipt
Occupation
Jewishness

From BirthConvertNot Jewish
Family

KohenLeviYisroel
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Home Number

Area Code Phone Number
Spouse
Full Name
First Name Last Name
Hebrew Name
Jewishness

From BirthConvertNot Jewish
Family

KohenLeviYisroel
Occupation
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Home Number

Area Code Phone Number
Birth Date

Month Day Year
E-mail
PERSONAL INFORMATION

Address If Different From Billing Address

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

Marital Status
Anniversary Date

Month Day Year
CHILDREN
Full Name
First Name Last Name
Birth Date

Month Day Year
Full Name
First Name Last Name
Birth Date

Month Day Year
Full Name
First Name Last Name
Birth Date

Month Day Year
Full Name
First Name Last Name
Birth Date

Month Day Year
Yarzeit Information
For Yizkor and Memorial Plaques
Full Name
First Name Last Name
Hebrew Name
Full Hebrew Name Father's Hebrew Name
Date of Passing Include Time if Known

Month Day Year
at Hour Minutes
Relationship
Full Name
First Name Last Name
Hebrew Name
Full Hebrew Name Father's Hebrew Name
Date of Passing Include Time if Known

Month Day Year
at Hour Minutes
Relationship
Membership Plan
Please choose your membership option.
Membership Options Enter Monthly Amount in 'Other' Box and Select Recurring

$5400 Platinum Membership $450/month$3600 Gold Membership $300/month$2400 Silver Membership $200/month$1800 Family Membership $150/month$1200 Individual Membership $100/month$800 Senior Membership $67/month$36 Chai Membership $36/monthStudent Membership $15/monthSubsidized Membership, No Questions Asked
Yes, I'd like to make this a monthly recurring payment.
Volunteering

Please call on me to VolunteerPlease do not call on me to Volunteer
Total

$0.00

Payment

Credit Card Check, Other...

Postal / Zip Code

Country

I would like to receive news and updates by email
__ Lulav & Esrog set @ $75 Standard, or $125 Deluxe Pitom (Yes or No):_____

Membership includes High Holiday seating, however, reservations are required.

How many people from your family will be joining us for the High Holidays:

Number of Adults _____ Number of Children _____

We will be offering gourmet Community Meals on Rosh Hashanah. The cost to join is $25 per meal per adult and $15 per meal per child (3-12). How many will be joining us?

Adults ______ x $25 = $_______ Children x $15 = $________.

Security Fee (Minimum of $180 per membership unit per year) $_______
Should be Empty:

This page uses TLS encryption to keep your data secure.