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Chabad at La Costa Membership Sign Up Form
Membership in Chabad at La Costa means that you partner with us in bringing authentic Jewish values to our area. 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 reciept by email or direct mail unless otherwise noted below.
* Denotes required field
Household Information
Head of Household*
Spouse
Children and their Ages
Hebrew Names of Family Members
Membership Type
Supporter Membership ( Starts at $1,800 + $1000 for the Building Fund each year for 5 years)
Standard Family Membership ($1,200 + $1000 for the Building Fund each year for 5 years)
Standard Individual Membership ($800 + $1000 for the Building Fund each year for 5 years)
Standard Senior Membership ($500 + $500 for the Building Fund each year for 5 years)
Standard Student Membership ($180 + $180 for the Building Fund each year for 5 years)
Associate Membership (50% of Standard Membership + $250 to Pay-Off Mortgage)
I am not interested in Membership now, but want to support your work with a donation
High Holiday Seating (included with Membership!)
* Please indicate how many people from your family will be joining us for the High Holidays.
Number of Adults
Number of Children
Lulav & Esrog Set
Please order a Lulav & Esrog set for me (@ $75 or $125)
Please do NOT order a Lulav & Esrog set for me
Volunteer Opportunities
Please call on me as a Volunteer
Please do NOT call on me as a Volunteer
Best Time to Call
* Anyone who wants to join will be welcomed regardless of financial situation, and may be assured of absolute confidentiality in this matter.
Payment Information
First Name*
Last Name*
Address*
City*
State
Post Code*
Phone*
Payment Information
* If you are paying by Credit Card, please click here. If you would like to pay with a Personal Check, Business Check or Cash, please bring your payment to Chabad at La Costa, located at: 1980 La Costa Avenue, Carlsbad, CA 92009.