Membership Registration Form

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Email *

Name *

First

Last

Address *

Address Line 1

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City

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Are you currently a member or is this your first time? *

How did you hear about the Chai Centre? *

Membership Levels

A Canadian tax receipt can be issed for all membersip levels.

What year number is this for you Platinum membership? *

Did the Rabbi confirm your eligibilaty for a Platinum membership? *

Total

$0.00

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