Young Israel of West Rogers Park Membership Form
Member #1 - Last name *
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Member #1 - First name *
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Member #2 - Last name
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Member #2 - First name
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Street Address *
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City, State, Zip *
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Home Phone *
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Email #1 *
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Email #2
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Choose membership category *
Includes National Council of Young Israel dues. Associate memberships do not include High Holiday seats.
How many guest seats are needed? (for guests who are not immediate family members) - $50 each
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Optional (but very much appreciated) donations:
Join the Club! You can join any of our Chai Clubs and donate $18 or $36 automatically each month.
Visit yiwrp.com and scroll to the bottom of the page to join!
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Kiddush Fund
I want to help increase the Oneg Shabbat at Young Israel of West Rogers Park's kiddush. I understand that Kiddush Fund contributions are not in lieu of future contributions for sponsorship of Kiddush for personal s'machot. I would like to made a contribution of:
Total Amount Due *
Payment may be submitted via Paypal using the "Donate" button on yiwrp.com or in the weekly bulletin, or by mailing your check to the shul: Young Israel of West Rogers Park, 2706 W. Touhy Ave. Chicago, IL 60645
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High Holiday Seats
Please indicate here the seats you will need.
PLEASE NOTE: Associate membership does not include any seats for the High Holidays.
How many seats for male family members?
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How many seats for female family members?
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How many seats for male guests?
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How many seats for female guests?
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If seats are needed only for Rosh Hashanah or Yom Kippur, please indicate that here:
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