Donations Payment can be made with Visa, MasterCard, American Express or PayPal. By submitting the form, you will be directed to PayPal's secure site for processing.PLEASE CHECK APPLICABLE CATEGORY:FAMILY MEMBERSHIP. SINGLE MEMBERSHIPIncludes 2 High Holy Day seats Includes 2 High Holy Day seat[ ] Under age 35 $1,000.0 0 [ ] Under age 35 $750.00[ ] Age 35 – 64 $1875.00 [ ] Age 35 - 64 $950.00[ ] Age 65 and Over $950.00 [ ] Age 65 and Over $625.00ASSOCIATE MEMBERSHIP (a family or individual who has an existing membership at another shul)[ ] Family $625.00 Includes 2 High Holiday Seat & May purchase Additional High Holy Day Seat tickets @ $100.00 each[ ] Single $400.00 Includes 2 High Holy Day seat May purchase Additional High Holy Day Seat tickets @ $100.00 each Additional High Holy Day seat tickets may be purchased at the following rates: Members $100.00 Non-members $150.00 DUES(Please insert dues amount selected above) USD Associate or Additional Seat @$100 each USD Non -Member Seats @ 150 USD Building Maintenance Fund USD Kol Nidre USD Yizkor1 USD Total Comment NameFirstLast Address Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country EmailSubmitReset