Membership Registration Form

*Use this form to renew or begin a new membership. If you would like to make a donation only, please go to the “Donate“ page.

All annual membership levels are valid until the upcoming Rosh Hashana.

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Email *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone *

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 issued for all membership levels.

What year number is this for your Platinum membership? *

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

Total

$0.00

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

Did you read and do you accept the terms and conditions on the "Burial" page? *

The "Burial" terms and conditions page can be found here: Click here to view our Burial Information page