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In lieu of membership and in keeping with the welcoming and open atmosphere at Chabad of Silver Spring, we are continuing our partnership drive. By becoming a partner with Chabad of Silver Spring, you will be enabling us to continue to provide to you, your family, and everyone who comes to one of our programs or services a warm and friendly place to learn, celebrate, and join together as a community.

We hope that you will consider this partnership opportunity and are grateful for your continued support.

If you have joined us as a partner in the past, you do not need to resubmit your yartzheit and birthday information.

If you would like to discuss becoming a partner in person or over the phone, please contact me at 301-593-1117 or silverspringchabad@gmail.com.

 

 

SECTION I:  YOUR INFO

SECTION II:  SPOUSE'S INFO

 Name

 

 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   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 conversion 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 VII: MEMBERSHIP OPPORTUNITIES 2014  
All partnership fees can be made in one payment or in 12 monthly installments
*If you would like to make monthly charges to your credit card please call the office to arrange it.* 

Please check the option of your choice

 

 

  Family Partnership $67 monthly $800 Annually (Includes donations for Aliyot throughout the year)
     Single Partnership  $50 Monthly $600 Annually (Includes donations for Aliyot throughout the year)
  Associate Partnership   $42 Monthly $500 Annually  
  Chai Partnership $150 Monthly $1,800 Annually (Includes donations for Aliyot throughout the year and a basic kiddush on the week of your choice)

 

SECTION VIII: OTHER GIVING OPPORTUNITES-BUILDING FUND 

Please, help us build the future and expand our horizons!
In addition to partnership, we encourage your participation in our one time building fund with a contribution of $5,000 per family which can be contributed in a single payment or in installments. 
  1 Payment of $5,000   12 monthly installments of $416  
  24 monthly installments of $208   36 monthly installments of $138  

 

Click here to be directed to the secure payment page.

 

* All contributions are tax deductible and can be paid throughout the year. No one is turned away for lack of funds. If you cannot afford the full amount requested, contact the Rabbi for a confidential arrangement.