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Chai Club

Chai Club

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Dear Friend,

Chabad of Lehigh Valley is committed to providing wonderful and enriching programs to every Jew in the Lehigh Valley, and our continued growth is made possible by the support we receive from friends like you.

Unlike traditional synagogues, Chabad of Lehigh Valley does not ask for annual membership dues or require any building fund payments. Each Chabad Center is self-supporting and is funded individually from the chartiable giving of individuals.

To help support the myriad holiday and educational programs, social events, and religious services of Chabad of Lehigh Valley, we have created the Chai Club and are inviting you to become our partner. By becoming our partner through the Chai Club, you are committing to a monthly donation in a multiple of 18, or Chai which means life in Hebrew. As a member of the Chai Club, your donation, combined with everyone else’s in this special club, will allow us to continue serving the community’s spiritual needs and allow us to reach out like never before.

Partnership Levels:
Chai -Patners for Life - $18 a month ($216 a year)
Ahava - Partners of Love - $36 a month ($432 a year)
Mazel - Partners of Good Fortune - $72 a month ($864 a year)
Shul Partner - $100 a month ($1,200 a year)
Menorah - Partners of Light - $180 a month - ($2,160 a year)
Other Amount -

SECTION I: YOUR INFO SECTION II: SPOUSE'S INFO

Name


First Last

Name

Hebrew Name Hebrew Name
Father's Hebrew Name Father's Hebrew Name
Mother's Hebrew Name Mother's Hebrew
Name
Occupation Occupation
Birth Date / /
MM / DD / YYYY format
Birth Date / /
MM / DD / YYYY format
Jewish by: Birth Converted Jewish by: Birth Converted
Check One: Cohen Levi Israel Check One: Cohen Levi Israel

SECTION III: PERSONAL INFORMATION

Address Email 1
City/State/Zip
City State Zip
Email 2
Home Phone Marital Status
Work Phone Anniversary Date / /
MM / DD / YYYY format
Work Fax If Divorced: If divorced, do you have a
Jewish "Get" ? Yes No

SECTION IV: CHILDREN

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format
Are any children adopted? Yes No If yes, give details, including any coversion info:

SECTION V: YAHRZEIT INFORMATION

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last
/ /
Date of Passing: MM / DD / YYYY
Relationship

SECTION VI: MEMBERSHIP/CHAI CLUB CONTRIBUTIONS - Monthly

Credit Card Type
Credit Card #:
Exp. Date
CVV Code


Comments:

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