Young Israel of West Rogers Park Membership Form 5780 (2019-20)
Member #1 - Last name *
Member #1 - First name *
Member #2 - Last name
Member #2 - First name
Street Address *
City, State, Zip *
Home Phone *
Email #1 *
Email #2
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
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!
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:
Clear selection
Total Amount Due *
Payment may be submitted via PayPal (https://www.paypal.com/us/fundraiser/charity/1634737), 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
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?
How many seats for female family members?
How many seats for male guests?
How many seats for female guests?
If seats are needed only for Rosh Hashanah or Yom Kippur, please indicate that here:
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