Membership Registration 5768
Payment received now is greatly appreciated
Family Membership Fees for 5768 which include High Holiday tickets for qualifying family members are $1500
Single Membership fees for 5768 which include High Holiday tickets for qualifying family members are $750
Corresponding Membership fees for 5768 are $100 and are intended for those who wish to receive bulletins, flyers, etc. in order to be informed of upcoming Aitz Hayim scholars, special events, holiday announcements and member life-cycle events. Corresponding Memberships do not include High Holiday ticket privileges. Contact the office if you wish to become a Corresponding member
Please indicate yes in this box if all information and ticket needs are identical to last year.
Please indicate yes in this box if you will be sending a check for Membership dues.
Please indicate yes in this box if you would like your Membership dues to be paid with a credit card. We will contact you to confirm the correct credit card number.
Membership type Family Single Cooresponding
Last Name Adult 1 First Name Adult 1 Last Name Adult 2 First Name Adult 2 Address City, ST Zip Phone # Email address
List the names of all member children living at home or students away.
Child's full name Age Holiday ticket needed Yes No
Additional High Holiday tickets for extended family members are $125 per person. This would include a family member who is not your child living at home or away at school.
Tickets for non-related guests of members are $250 per person.
Full name Relationship
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AITZ HAYIM CENTER FOR JEWISH LIVING
1788 Second Street, Suite 202, Highland Park, IL 60035
Phone: 847-266-1919 Fax: 847-266-1876 Email: AitzHayim@sbcglobal.net