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Membership Prices
Single
- $75 per month
Families
- $150 per month
*All membership prices can be split up to 12 payments*
Membership Application Form
(Only the information with a
*
is required to fill out)
1. Family Information
*
Family Name
Address
City
State
--Select State--
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2. Husband Information
*
First Name
*
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Convert
Adopted
*
Father Hebrew Name
*
Mother Hebrew Name
*
D.O.B
Home Phone Number
Mobile
*
Email
Occupation
3. Spouse Information
First Name
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Convert
Adopted
Father Hebrew Name
Mother Hebrew Name
D.O.B
Home Phone Number
Mobile
Email
Occupation
4. Marital Status
Single
Married
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N/A
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5. Children (Married and Single)
Select the Number of Children in the Family
Please Select One
1
2
3
4
5
6
7
8
Children Information
*
Full Name
Hebrew Name
Convert
Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
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Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
Convert
Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
Convert
Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
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Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
Convert
Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
Convert
Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
*
Full Name
Hebrew Name
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Adopted
*
D.O.B
Gender
N/A or Unknown
Male
Female
School
6. Yahrtzeits
Select the Number of Yahrtzeits to Register
Please Select One
1
2
3
4
*
Full Name
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Father's Hebrew Name
Mother's Hebrew Name
Date of Death
Hebrew Date of Death
Relationship
*
Full Name
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Father's Hebrew Name
Mother's Hebrew Name
Date of Death
Hebrew Date of Death
Relationship
*
Full Name
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Father's Hebrew Name
Mother's Hebrew Name
Date of Death
Hebrew Date of Death
Relationship
*
Full Name
Hebrew Name
Tribe
Cohen
Levi
Yisrael
None Set
Father's Hebrew Name
Mother's Hebrew Name
Date of Death
Hebrew Date of Death
Relationship
7. Membership & Payment Types
*
Yes, I would like to become a member of the Chabad Israeli Center of Atlanta. I choose the following membership:
Please Select One
Partnership---3600-for-the-first-year-towards-the-building
Membership---1800-per-year
Single---900-per-year
*
Choose the Payment Type:
Please Select One
Partnership- Full payment of 3600 or
Partnership---12-Payments-of-300-Towards-the-3600
*
Choose the Payment Type:
Please Select One
Membership - Full Payment of $1800 or
Membership---12-Payments-of-150-Towards-the-1800
*
Choose the Payment Type:
Please Select One
Single - Full Payment of $900 per year or
Single---12-Payments-of-75-Towards-the-900
*
Recurring donation: I am going to split the above amount to each month for the next twelve months.
Recurring donation: I am going to split the above amount to each month for the next twelve months.
*
Full Name
I agree to the terms of the membership and agree to pay the yearly / monthly membership
*
Date
Donations Opportunities
Children Program - $36
Security - $180
Facility - $180
Total
Tue, September 17 2024
14 Elul 5784
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Today's Calendar
Selichot
: 6:45am
שיעור הלכה
: 8:30am
Mincha and Arvit
: 7:25pm
שיעור וארוחת ערב
: 7:30pm
This week's Torah portion is
Parshat Ki Tavo
Shabbat, Sep 21
Candle Lighting
Friday, Sep 20, 7:18pm
Erev Rosh Hashana
Wednesday, Oct 2
View Calendar
Zmanim
Alot Hashahar
6:08am
Earliest Talit - Tefilin
6:37am
Sunrise
7:22am
Latest Shema
10:26am
Zman Tefillah
11:28am
Hatsot (Mid-Day)
1:31pm
Minha Gedola
2:02pm
Minha Ketana
5:06pm
Plag HaMincha
6:23pm
Sunset
7:40pm
Nightfall
8:17pm
More >>
Tue, September 17 2024 14 Elul 5784
