Membership Information

If you are logged in this section displays the information we have on file for the adults in your household. Please update if anything is blank or has changed over the past year.

Address Line 1

Address Line 2

City

State

Home Phone

Please use this format: 520-555-1212.

Anniversary

Date of Wedding Anniversary (if applicable)

Member 1 First Name

Member 2 First Name

Member 1 Last Name

Member 2 Last Name

Member 1 Cell Phone

Please use this format: 520-555-1212.

Member 2 Cell Phone

Please use this format: 520-555-1212.

Member 1 email address

Member 2 email address

Please only enter a given email address once. Leave this email address blank if the other member shares the address.

Date of Birth

Children

Child 1

Name

Date of Birth

Child 2

Name

Date of Birth

Child 3

Name

Date of Birth

Membership Type (Please choose one)

$1910 Family Membership$ 955 Individual Membership$1000 Young Family MembershipPlease contact Suzanne Baron Helming
(chaverimtucson@gmail.com) with any financial questions

Please consider your further support of Chaverim by selecting one of the following

Not at this timeEilat Chai Level – Full membership + $500Haifa Chai Level – Full membership + $1,000Tel Aviv Chai Level – Full membership + $2,500Jerusalem Chai Level – Full membership + $5,000

Membership Pledge

Total Membership Pledge

PAYMENT DUE DATES

Payments are due by the following dates:
50% prior to September 16, 2022 (High Holy Days)
25% prior to February 1, 2023
25% prior to April 1, 2023

Please select one of the following:

I will follow the fee scheduleI will set up on-line installment payments

All donations are greatly appreciated. Donors at the Chai Levels receive recognition in our newsletter and on our Chai Member Tree of Life.

Please note that High Holy Days tickets will not be issued without a completed pledge form and appropriate payment made or a payment schedule established.

Please make checks payable to Congregation Chaverim.

For online payments: You may make a onetime or installment payments by selecting the "Donate" link at the top of this page.

By submitting this form, I/We promise to honor all monetary obligations I/we make to Congregation Chaverim