<!DOCTYPE html>

<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="en" />

<meta property="og:image" content="https://w2.chabad.org/media/images/1306/cRnT13068420.png" itemprop="image" width="150" height="150" />
<meta property="og:image:width" content="150" />
<meta property="og:image:height" content="150" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0" />
<meta name="keywords" content="Membership,Form" />
<meta name="title" content="Membership Form - Lubavitch Center" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="4827855-4827863-6754201-6762073" />
<meta name="article-keywords" content="2185-16403-20429-2170-2898" />
<meta name="scope-aid" content="4827855" />
<meta name="scope-aid" content="4827863" />
<meta name="scope-aid" content="6754201" />
<meta name="scope-aid" content="6762073" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="16403" />
<meta name="article-keyword" content="20429" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta property="og:url" content="https://www.lubavitchcenter.org/templates/articlecco_cdo/aid/6762073/jewish/Membership-Form-5787.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@chabad" />
<meta property="og:title" content="Membership Form" /><link rel="canonical" href="https://www.lubavitchcenter.org/templates/articlecco_cdo/aid/6762073/jewish/Membership-Form-5787.htm" />
<link rel="icon" type="image/png" href="https://www.lubavitchcenter.org/media/images/1306/cRnT13068420.png" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?v=2D6ABDDB" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?v=A13D74E8" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?v=7A8278DB" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?v=BD54F46B" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites-light.css?v=EDE7242E" id="ksites-light-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?v=220E279D" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/global.css?v=27BD2E9E" id="k3" type="text/css"/>
<link rel="Stylesheet" href="/css/global-print.css?v=40836E98" id="k5" type="text/css" media="print"/>
<link rel="Stylesheet" href="/css/cco/home/widget-styles.css?v=A8AC7A58" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/sites6/default-theme.css?v=546A0139" id="k" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?v=43DDBA77" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/formCss2.css?v=AB6A2925" id="kFormCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/themes/nova.css?v=87AD6957" id="kNova" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?v=F4390F2B" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?v=8AB57D79" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?v=3D052243" id="kBookInfoCss" type="text/css"/>
<!--[if lte IE 8]> <link rel="Stylesheet" href="/css/global-ie.css?v=807ACD6C" id="k4" type="text/css"/> <![endif]-->
<script>$q=[];$j=function(f){$q.push(f);}</script>
	
<title>
	Membership Form - Lubavitch Center
</title>
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2025-01-27","primaryArticleId":6762073,"title":"Membership Form","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"Lubavitch Center programs","contentLevel3":"Membership Form 5787","siteName":"Lubavitch Center"},"time":{"upcomingHoliday":"Chanukah","daysToUpcomingHoliday":34,"hebrewDate":"5787-08-21"}});
		dataLayer.push({ 'articleHierarchy': '-4827855-4827863-6754201-6762073-', 'keywords': '-k2898-k2170-k20429-k16403-k2185-', 'k': '-4827855-4827863-6754201-6762073--k2898-k2170-k20429-k16403-k2185-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 12394294;var sc_partition = 76;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "53769a52";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c77.statcounter.com/counter.php?sc_project=12394294&amp;java=0&amp;security=53769a52&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->


</head>
<body class="lang_en dir_ltr cco_body form secure sites-article">

	


	
	<div id="PrintCreditHeader" class="show_for_print">
Printed from<b>LubavitchCenter.org</b>
</div>
	<div id="header">
		<div class="wrapper header-wrapper">
			
			


<div id="header_container" class="header_container">
	<div class="clearfix links">
		<img src="https://w2.chabad.org/images/global/spacer.gif" width="15" height="8" class="baruch_hashem" />
		<div class="float_right">
			
			
				<div class="topBarLink cco_topbar_link ask_the_rabbi_link">
					<a href="/asktherabbi/default_cdo/jewish/Ask-the-Rabbi.htm">Ask the Rabbi</a>
				</div>
				
			
				<div id="HeaderSubscribe" class="top_bar_item topBarLink cco_topbar_link subscribe_link">Subscribe
					<div id="HeaderSubscribeContainer" class="topBarLayer" style="display:none;width:295px;">
						<div id="SubscribeFormContainer">
							<span id="SubscribeMessage" class="error" style="display:none;"></span>
							<form name="topSubscribea67ec2ed2f" class="subscribe_box" target="" action="" method="get" onsubmit="return submitHeaderSubscribe(this, document.getElementById('a67ec2ed2fFormContainer'), document.getElementById('a67ec2ed2fResponseContainer'));">



<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="b366aa80-0ed9-4132-9675-f794a1b8c9fc" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="b366aa80-0ed9-4132-9675-f794a1b8c9fc"></div>	

<div class="container horizontal_padding" id="a67ec2ed2fContainer">
<div style="margin:10px 0;">
<div class="co_form_container" id="a67ec2ed2fFormContainer">
<input type="text" maxlength="50" class="co_global_input float_left medium_bottom_margin" value="" required="" display_name="First Name" id="Fname" name="fname" placeholder="First Name">
<input type="text" maxlength="50" class="co_global_input float_right medium_bottom_margin" value="" required="" display_name="Last Name" id="Lname" name="lname" placeholder="Last Name">
<div class="form_group">
<input type="hidden" name="via" value="inlineSubscribeBox:1228906;" />
<input type="text" class="co_global_input medium_bottom_margin" value="" required="" display_name="Email" id="SubscribeEmail" name="email" placeholder="Email Address">
<div id="CoButton_wrapper" class="co_global_submit" style="width:100%;padding:0;"><button id="CoButton" type="submit" class="button" value="Subscribe"><span>Subscribe</span></button></div>
</div>
<div class="break_floats"></div>
<div class="light_grey f-small" style="padding-top:3px;padding-left:3px;">
<input type="hidden" name="subscriptionid" value="55102" />
Subscribe to general
</div>
</div>
<div id="a67ec2ed2fResponseContainer"></div>
</div>
</div>
</form>
<!-- END CACHE -->
							<div class="break_floats"></div>
						</div>
						<div class="blue f-small bold small_vertical_padding medium_horizontal_padding footer_box">
							<a href="/tools/subscribe/default_cdo">View all subscriptions &raquo;</a>
						</div>
					</div>
				</div>
			
			
				<div class="topBarLink cco_topbar_link contact_link">
					<a href="/tools/feedback.asp">Contact</a>
				</div>
			
			
		</div>
		<div class="float_left">
			
				<div class="topBarLink cco_topbar_link home_link">
					<a href="/">Home</a>
				</div>
				
			
				<div class="topBarLink cco_topbar_link about_link">
					<a href="/36226">About</a>
				</div>
				
			
			

<div class="topBarLink mychabad_login_bar" id="mychabad_login_bar">
	
			
				<a href="/tools/login/default.asp?aid=6762073&amp;jewish=Membership-Form-5787.htm" class="login_link" id="login_link">Sign In</a>
			
			
		
</div>
			
		</div>
	</div>
	<div class="break_floats"></div>
</div>

			<div class="clearfix branding-search">
				<div id="header_branding" class="no_outline  logo">
					<div class="g260 no_margin cco_search_header float_right">
						

<div class="co_search_form margin05">
	<form name="MainSearchForm" id="MainSearchForm" method="get" action="/search/results.asp" class="clearfix" onsubmit="return Co.Forms.Validation.Validate(this, null, {markAsSubmitted:false});">
		<div class="co_global_submit"><button type="submit" class="button" value=" "><span> </span></button></div>
		

<div class="co_global_input_container clearfix">
	<input id="topAreaTopSearch_search" required="true" autocomplete="nope" placeholder="Search" value="" class="co_global_input co_search js-search-field active js-mirrored-input" onblur="this.form.className = this.form.className.replace(/\sactive/gi, &#39;&#39;);" name="searchWord" onfocus="this.form.className+=&#39; active&#39;;" type="text" display_name="Search Field" min_length="3"></input>
</div>

			
		
		
	
		<div id="topAreaTopSearch_search_wrapper" class="co_field_options" style="display:none;">
			<div class="co_absolute_wraper" id="co_absolute_wraper" style="">
				<div class="inner">
					<div id="topAreaTopSearch_search_container" class="co_field_options_suggestions"></div>
					<div class="break_floats"></div>
					
				</div>
			</div>
		</div>
	</form>
</div>
					</div>
					
						<div class="float_left site-logo-wrapper"><a href="/"><img src="https://w2.chabad.org/media/images/1306/cRnT13068420.png" width="100" height="100" border="0"  /></a></div>
					
					<a href="/default.asp" title="Lubavitch Center" class="site_title">Lubavitch Center<span class="site_subtitle clearfix"> Beis Yechezkel</span></a>
				</div>
			</div>
			
			
			<button type='button' class='cs-mobile-menu-open js-mobile-menu-open'><i class='fa fa-bars'></i></button>
			<div class="site-nav-wrapper">
				<script>
var primaryNavigationVersion = "639290434086292485";
</script>
<div id="co_menu_container_wrapper" class="co_menu_container_wrapper " data-list-name="primary navigation"> 
<div class="co_menu_container clearfix" id="co_menu_container">
<a class="menu_logo" href="/"></a>
<table cellpadding="0" cellspacing="0" border="0" class="main_menu_container first global">
<tr id="tabContentMain" tab="Main" style="display:table-row;">
<td class="co_menu_item home" data-menu-level="1"><a href="/default.asp"><img class="co_menu_home_image" src="https://w2.chabad.org/images/global/spacer.gif" width="28" height="60" border="0" onmouseover="this.className += ' hover';" onmouseout="this.className=this.className.replace(/\s?hover/gi, '');" /></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6798244" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/7108443/jewish/Chanukah-at-Chabad.htm" class="item empty" id="menu_item1-1" data-menu-level="2" data-aid="7108443">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Chanukah at Chabad</span>
</a>
<a href="/templates/articlecco_cdo/aid/7282907/jewish/Pesach-at-Chabad.htm" class="item empty" id="menu_item1-2" data-menu-level="2" data-aid="7282907">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Pesach at Chabad</span>
</a>
</div>
<div id="menu_child1-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child1-2" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/6798244/jewish/Chabad-of-Western-PA.htm" class="parent">Chabad&nbsp;of<br />Western&nbsp;PA</a></div></span><a href="/templates/articlecco_cdo/aid/6798244/jewish/Chabad-of-Western-PA.htm" class="bg_extension js-parent-menu-link" data-aid="6798244"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6754201" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/6762073/jewish/Membership-Form-5787.htm" class="item empty" id="menu_item2-1" data-menu-level="2" data-aid="6762073">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Membership Form 5787</span>
</a>
<a href="/templates/articlecco_cdo/aid/6771264/jewish/Weekly-Shul-Kiddush.htm" class="item" id="menu_item2-2" data-menu-level="2" data-aid="6771264">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Weekly Shul Kiddush</span>
</a>
<a href="/templates/articlecco_cdo/aid/6771286/jewish/Pittsburgh-Eiruv-Map.htm" class="item empty" id="menu_item2-3" data-menu-level="2" data-aid="6771286">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Pittsburgh Eiruv Map</span>
</a>
<a href="/templates/articlecco_cdo/aid/6775577/jewish/Community-Resources.htm" class="item empty" id="menu_item2-4" data-menu-level="2" data-aid="6775577">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Community Resources</span>
</a>
<a href="/templates/articlecco_cdo/aid/6796822/jewish/Mens-Mikvah-Information.htm" class="item empty" id="menu_item2-5" data-menu-level="2" data-aid="6796822">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Men's Mikvah Information</span>
</a>
<a href="/templates/articlecco_cdo/aid/6792133/jewish/Sell-Your-Chametz-Form.htm" class="item empty" id="menu_item2-6" data-menu-level="2" data-aid="6792133">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Sell Your Chametz Form</span>
</a>
<a href="/templates/articlecco_cdo/aid/6910317/jewish/Calendar-Ad-Form.htm" class="item empty" id="menu_item2-7" data-menu-level="2" data-aid="6910317">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Calendar Ad Form</span>
</a>
<a href="/templates/articlecco_cdo/aid/6954824/jewish/Lubavitch-Center-Library.htm" class="item empty" id="menu_item2-8" data-menu-level="2" data-aid="6954824">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Lubavitch Center Library</span>
</a>
<a href="/templates/articlecco_cdo/aid/6976142/jewish/Yagdil-Torah.htm" class="item empty" id="menu_item2-9" data-menu-level="2" data-aid="6976142">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Yagdil Torah</span>
</a>
<a href="/templates/articlecco_cdo/aid/7029462/jewish/Lubavitch-Center-Space-Rental.htm" class="item empty" id="menu_item2-10" data-menu-level="2" data-aid="7029462">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Lubavitch Center Space Rental</span>
</a>
<a href="/templates/articlecco_cdo/aid/7038533/jewish/Buy-Esrog-5787.htm" class="item" id="menu_item2-11" data-menu-level="2" data-aid="7038533">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Buy Esrog 5787</span>
</a>
<a href="/templates/articlecco_cdo/aid/7396647/jewish/Minhagim-of-Gimel-Tamuz.htm" class="item empty" id="menu_item2-12" data-menu-level="2" data-aid="7396647">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Minhagim of Gimel Tamuz</span>
</a>
</div>
<div id="menu_child2-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-2" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/6895076/jewish/Kiddush-sponsorship.htm" class="child_item default" data-menu-level="3" data-aid="6895076"><span>Kiddush sponsorship</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-3" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-4" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-5" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-6" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-7" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-8" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-9" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-10" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-11" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/7071103/jewish/Hoshainos.htm" class="child_item default" data-menu-level="3" data-aid="7071103"><span>Hoshainos </span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-12" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/6754201/jewish/Lubavitch-Center-programs.htm" class="parent">Lubavitch<br />Center&nbsp;programs</a></div></span><a href="/templates/articlecco_cdo/aid/6754201/jewish/Lubavitch-Center-programs.htm" class="bg_extension js-parent-menu-link" data-aid="6754201"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6744038" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/6774013/jewish/Current-classes.htm" class="item empty" id="menu_item3-1" data-menu-level="2" data-aid="6774013">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Current classes</span>
</a>
<a href="/templates/photogallery_cdo/aid/6776962/jewish/Past-Events-Photos.htm" class="item empty" id="menu_item3-2" data-menu-level="2" data-aid="6776962">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Past Events Photos</span>
</a>
</div>
<div id="menu_child3-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-2" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/6744038/jewish/Womens-Kollel.htm" class="parent">Women's<br />Kollel</a></div></span><a href="/templates/articlecco_cdo/aid/6744038/jewish/Womens-Kollel.htm" class="bg_extension js-parent-menu-link" data-aid="6744038"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6775427" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/6814032/jewish/End-of-the-year-Jr-Minyan-award-trip.htm" class="item hover" id="menu_item4-1" data-menu-level="2" data-aid="6814032">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>End of the year Jr. Minyan award trip </span>
</a>
<a href="/templates/articlecco_cdo/aid/7101237/jewish/Avos-Ubanim.htm" class="item empty" id="menu_item4-2" data-menu-level="2" data-aid="7101237">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Avos Ubanim </span>
</a>
<a href="/templates/articlecco_cdo/aid/7113889/jewish/Imahos-Ubanos.htm" class="item empty" id="menu_item4-3" data-menu-level="2" data-aid="7113889">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Imahos Ubanos</span>
</a>
<a href="/templates/articlecco_cdo/aid/7511293/jewish/Jr-minyan-donation-form.htm" class="item empty" id="menu_item4-4" data-menu-level="2" data-aid="7511293">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Jr minyan donation form</span>
</a>
</div>
<div id="menu_child4-1" class="menu_child selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/6939236/jewish/End-of-the-year-Jr-Minyan-award-trip-BOYS.htm" class="child_item default" data-menu-level="3" data-aid="6939236"><span>End of the year Jr. Minyan award trip BOYS</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child4-2" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child4-3" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child4-4" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/6775427/jewish/Kids-Programs.htm" class="parent">Kids<br />Programs</a></div></span><a href="/templates/articlecco_cdo/aid/6775427/jewish/Kids-Programs.htm" class="bg_extension js-parent-menu-link" data-aid="6775427"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="6774090" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/dailystudy/torahreading_cdo/jewish/Chumash-with-Rashi.htm" class="item empty" id="menu_item5-1" data-menu-level="2" data-aid="9079">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Chumash with Rashi</span>
</a>
<a href="/dailystudy/tehillim_cdo/jewish/Tehillim-Psalms.htm" class="item empty" id="menu_item5-2" data-menu-level="2" data-aid="8052">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Tehillim - Psalms</span>
</a>
<a href="/dailystudy/tanya_cdo/jewish/Tanya.htm" class="item empty" id="menu_item5-3" data-menu-level="2" data-aid="6210">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Tanya</span>
</a>
<a href="/dailystudy/rambam.asp?rambamChapters=3" class="item empty" id="menu_item5-4" data-menu-level="2" data-aid="1808837">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>3 Chapters Rambam</span>
</a>
<a href="/dailystudy/rambam_cdo/jewish/1-Chapter-Rambam.htm" class="item empty" id="menu_item5-5" data-menu-level="2" data-aid="1808838">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>1 Chapter Rambam</span>
</a>
<a href="/dailystudy/seferHamitzvos_cdo/jewish/Daily-Mitzvah.htm" class="item" id="menu_item5-6" data-menu-level="2" data-aid="9450">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Daily Mitzvah</span>
</a>
<a href="/dailystudy/hayomyom_cdo/jewish/Hayom-Yom.htm" class="item empty" id="menu_item5-7" data-menu-level="2" data-aid="8100">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Hayom Yom</span>
</a>
<a href="/dailystudy/dailywisdom.htm" class="item empty" id="menu_item5-8" data-menu-level="2" data-aid="3960401">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Daily Wisdom</span>
</a>
<a href="/dailystudy/talmud.htm" class="item empty" id="menu_item5-9" data-menu-level="2" data-aid="3960413">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Daily Talmud</span>
</a>
<a href="/library/article_cdo/aid/2452166/jewish/Daily-Torah-Study-App.htm" class="item empty" id="menu_item5-10" data-menu-level="2" data-aid="5525420">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Daily Study App</span>
</a>
</div>
<div id="menu_child5-1" class="menu_child empty selected" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-2" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-3" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-4" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-5" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-6" class="menu_child" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/library/article_cdo/aid/9451/jewish/Sefer-Hamitzvot-Lesson-1.htm" class="child_item default" data-menu-level="3" data-aid="9451"><span>Sefer Hamitzvot - Lesson 1</span></a>
<a href="/library/article_cdo/aid/9452/jewish/Sefer-Hamitzvot-Lesson-2.htm" class="child_item default" data-menu-level="3" data-aid="9452"><span>Sefer Hamitzvot - Lesson 2</span></a>
<a href="/library/article_cdo/aid/9453/jewish/Sefer-Hamitzvot-Lesson-3.htm" class="child_item default" data-menu-level="3" data-aid="9453"><span>Sefer Hamitzvot - Lesson 3</span></a>
<a href="/library/article_cdo/aid/9454/jewish/Sefer-Hamitzvot-Lesson-4.htm" class="child_item default" data-menu-level="3" data-aid="9454"><span>Sefer Hamitzvot - Lesson 4</span></a>
<a href="/library/article_cdo/aid/9455/jewish/Sefer-Hamitzvot-Lesson-5.htm" class="child_item default" data-menu-level="3" data-aid="9455"><span>Sefer Hamitzvot - Lesson 5</span></a>
<a href="/library/article_cdo/aid/9456/jewish/Sefer-Hamitzvot-Lesson-6.htm" class="child_item default" data-menu-level="3" data-aid="9456"><span>Sefer Hamitzvot - Lesson 6</span></a>
<a href="/library/article_cdo/aid/9457/jewish/Sefer-Hamitzvot-Lesson-7.htm" class="child_item default" data-menu-level="3" data-aid="9457"><span>Sefer Hamitzvot - Lesson 7</span></a>
<a href="/library/article_cdo/aid/9458/jewish/Sefer-Hamitzvot-Lesson-8.htm" class="child_item default" data-menu-level="3" data-aid="9458"><span>Sefer Hamitzvot - Lesson 8</span></a>
<a href="/library/article_cdo/aid/9459/jewish/Sefer-Hamitzvot-Lesson-9.htm" class="child_item default" data-menu-level="3" data-aid="9459"><span>Sefer Hamitzvot - Lesson 9</span></a>
<a href="/library/article_cdo/aid/9460/jewish/Sefer-Hamitzvot-Lesson-10.htm" class="child_item default" data-menu-level="3" data-aid="9460"><span>Sefer Hamitzvot - Lesson 10</span></a>
</div></td>
<td class="co_column"><div class="column_left_wrapper">
<a href="/library/article_cdo/aid/9461/jewish/Sefer-Hamitzvot-Lesson-11.htm" class="child_item default" data-menu-level="3" data-aid="9461"><span>Sefer Hamitzvot - Lesson 11</span></a>
<a href="/library/article_cdo/aid/9462/jewish/Sefer-Hamitzvot-Lesson-12.htm" class="child_item default" data-menu-level="3" data-aid="9462"><span>Sefer Hamitzvot - Lesson 12</span></a>
<a href="/library/article_cdo/aid/9463/jewish/Sefer-Hamitzvot-Lesson-13.htm" class="child_item default" data-menu-level="3" data-aid="9463"><span>Sefer Hamitzvot - Lesson 13</span></a>
<a href="/library/article_cdo/aid/9464/jewish/Sefer-Hamitzvot-Lesson-14.htm" class="child_item default" data-menu-level="3" data-aid="9464"><span>Sefer Hamitzvot - Lesson 14</span></a>
<a href="/library/article_cdo/aid/9465/jewish/Sefer-Hamitzvot-Lesson-15.htm" class="child_item default" data-menu-level="3" data-aid="9465"><span>Sefer Hamitzvot - Lesson 15</span></a>
<a href="/library/article_cdo/aid/9466/jewish/Sefer-Hamitzvot-Lesson-16.htm" class="child_item default" data-menu-level="3" data-aid="9466"><span>Sefer Hamitzvot - Lesson 16</span></a>
<a href="/library/article_cdo/aid/9467/jewish/Sefer-Hamitzvot-Lesson-17.htm" class="child_item default" data-menu-level="3" data-aid="9467"><span>Sefer Hamitzvot - Lesson 17</span></a>
<a href="/library/article_cdo/aid/9468/jewish/Sefer-Hamitzvot-Lesson-18.htm" class="child_item default" data-menu-level="3" data-aid="9468"><span>Sefer Hamitzvot - Lesson 18</span></a>
<a href="/library/article_cdo/aid/9469/jewish/Sefer-Hamitzvot-Lesson-19.htm" class="child_item default" data-menu-level="3" data-aid="9469"><span>Sefer Hamitzvot - Lesson 19</span></a>
<a href="/library/article_cdo/aid/9470/jewish/Sefer-Hamitzvot-Lesson-20.htm" class="child_item default" data-menu-level="3" data-aid="9470"><span>Sefer Hamitzvot - Lesson 20</span></a>
</div></td>
<td class="co_column"><div class="column_left_wrapper">
<a href="/library/article_cdo/aid/9471/jewish/Sefer-Hamitzvot-Lesson-21.htm" class="child_item default" data-menu-level="3" data-aid="9471"><span>Sefer Hamitzvot - Lesson 21</span></a>
<a href="/library/article_cdo/aid/9472/jewish/Sefer-Hamitzvot-Lesson-22.htm" class="child_item default" data-menu-level="3" data-aid="9472"><span>Sefer Hamitzvot - Lesson 22</span></a>
<a href="/library/article_cdo/aid/9473/jewish/Sefer-Hamitzvot-Lesson-23.htm" class="child_item default" data-menu-level="3" data-aid="9473"><span>Sefer Hamitzvot - Lesson 23</span></a>
<a href="/library/article_cdo/aid/9474/jewish/Sefer-Hamitzvot-Lesson-24.htm" class="child_item default" data-menu-level="3" data-aid="9474"><span>Sefer Hamitzvot - Lesson 24</span></a>
<a href="/library/article_cdo/aid/9475/jewish/Sefer-Hamitzvot-Lesson-25.htm" class="child_item default" data-menu-level="3" data-aid="9475"><span>Sefer Hamitzvot - Lesson 25</span></a>
<a href="/library/article_cdo/aid/9476/jewish/Sefer-Hamitzvot-Lesson-26.htm" class="child_item default" data-menu-level="3" data-aid="9476"><span>Sefer Hamitzvot - Lesson 26</span></a>
<a href="/library/article_cdo/aid/9477/jewish/Sefer-Hamitzvot-Lesson-27.htm" class="child_item default" data-menu-level="3" data-aid="9477"><span>Sefer Hamitzvot - Lesson 27</span></a>
<a href="/library/article_cdo/aid/9478/jewish/Sefer-Hamitzvot-Lesson-28.htm" class="child_item default" data-menu-level="3" data-aid="9478"><span>Sefer Hamitzvot - Lesson 28</span></a>
<a href="/library/article_cdo/aid/9479/jewish/Sefer-Hamitzvot-Lesson-29.htm" class="child_item default" data-menu-level="3" data-aid="9479"><span>Sefer Hamitzvot - Lesson 29</span></a>
<a href="/library/article_cdo/aid/9480/jewish/Sefer-Hamitzvot-Lesson-30.htm" class="child_item default" data-menu-level="3" data-aid="9480"><span>Sefer Hamitzvot - Lesson 30</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child5-7" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-8" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-9" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-10" class="menu_child empty" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/dailystudy/default_cdo/jewish/Daily-Study.htm" class="parent">Daily<br />Study</a></div></span><a href="/dailystudy/default_cdo/jewish/Daily-Study.htm" class="bg_extension js-parent-menu-link" data-aid="6774090"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item donate_link" aid="0" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/4970020" class="parent">Donate</a></div></span><a href="/4970020" class="bg_extension js-parent-menu-link" data-aid="0"></a></td>
</tr>
</table>
</div>
</div>
<!-- END CACHE -->
				<div class="mobile-menu-bottom-links">
					
						<a href="/36226" class="site-menu-general__link">About</a>
					
					<a href="/search">Search</a>
					
						<a href="/tools/feedback.asp">Contact</a>
					
				</div>
			</div>
		</div>
	</div>
	<div id="content">
		<div id="BodyContainer" class="wrapper">
			<div class="body_wrapper  no-hero-image clearfix">
				
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper g960" >
					

<header class="article-header cf ">
	
<script type="application/ld+json">
{
	"@context": "http://schema.org",
	"@type": "BreadcrumbList",
	"itemListElement": [
  {
    "@type": "ListItem",
    "position": 1,
    "item": {
      "@id": "/templates/articlecco_cdo/aid/6754201/jewish/Lubavitch-Center-programs.htm",
      "name": "Lubavitch Center programs"
    }
  },
  {
    "@type": "ListItem",
    "position": 2,
    "item": {
      "@id": "/article.asp?aid=6762073",
      "name": "Membership Form 5787"
    }
  }
]
}
</script>
<div class="breadcrumbs breadcrumbs hide_for_print" data-list-name="breadcrumbs">
	
			<a class="breadcrumbs__crumb" href='/templates/articlecco_cdo/aid/6754201/jewish/Lubavitch-Center-programs.htm' data-aid="6754201">
				Lubavitch Center programs
			</a>
		
</div>
	
			<h1 class="article-header__title js-article-title js-page-title">Membership Form 5787</h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="g700" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content g700 no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	

<div id="formContainer"><script type="text/javascript">var defaultCurrency = { value: 'USD', symbol: '$'};
$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":526,"44_text":"Build the Membership that works for you!","44_subHeader":"","44_headerType":"Default","44_name":"clickTo44","44_qid":44,"44_type":"control_head","44_order":1,"45_text":"\u003cp\u003eChoose the individual options that work for you, or become a\u003cstrong\u003e Full Member\u003c/strong\u003e and receive the complete package at the best value.\u003c/p\u003e\n\n\u003cp\u003e\u003cu\u003e\u003cspan style=\"font-size:16px;\"\u003e\u003cb\u003e\u0026Agrave; LA CARTE OPTIONS\u003c/b\u003e\u003c/span\u003e\u003c/u\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eCUBBY IN COATROOMS\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eLockers are reserved for those with membership, full or weekly. Cubbies are only available \u0026agrave; la carte after all paying members receive one.\u003c/p\u003e\n\n\u003cp\u003e$20 per month\u003c/p\u003e\n\n\u003cp\u003eor $200 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003eSubject to availability\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eMIKVAH MEMBERSHIP\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003e$36 per month\u003c/p\u003e\n\n\u003cp\u003eor $360 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eJUNIOR MINYAN\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003e$50 per month\u003c/p\u003e\n\n\u003cp\u003eor $500 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eWEEKDAY MEMBERSHIP\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003e$45 per month\u003c/p\u003e\n\n\u003cp\u003eor $450 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eWEEKDAY MEMBERSHIP WITH LOCKER OR CUBBY\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eSubject to availability\u003c/p\u003e\n\n\u003cp\u003e$55 per month\u003c/p\u003e\n\n\u003cp\u003eor $550 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eANNUAL KIDDUSH SPONSORSHIP\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eOne Kiddush sponsorship\u003c/p\u003e\n\n\u003cp\u003e$50 per month\u003c/p\u003e\n\n\u003cp\u003eor $500 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eFULL MEMBERSHIP: THE BEST VALUE\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eFull Membership includes:\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; Full Shabbos, Yom Tov, and weekday use of the shul\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; Mikvah membership\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; Junior Minyan\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; Annual partial Kiddush sponsorship\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; A locker or coatroom cubby, subject to availability\u003c/p\u003e\n\n\u003cp\u003e\u0026bull; All regular Full Membership rights and benefits\u003c/p\u003e\n\n\u003cp\u003e$125 per month\u003c/p\u003e\n\n\u003cp\u003eor $1,250 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003eThe listed benefits are worth up to $1,910 when selected individually. Full Membership brings everything together for $1,250 annually, a potential savings of $660.\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003ePAY ANNUALLY AND RECEIVE TWO MONTHS FREE\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eMonthly memberships are paid over 12 months. When you pay annually in advance, you pay the equivalent of only 10 monthly payments.\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eCHAI SUSTAINING MEMBERSHIP\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eFor those who would like to provide additional support to the shul and help make membership possible for others:\u003c/p\u003e\n\n\u003cp\u003e$180 per month\u003c/p\u003e\n\n\u003cp\u003eor $1,800 for one year if paid in full\u003c/p\u003e\n\n\u003cp\u003e\u003cb\u003eMEMBERSHIP SHOULD WORK FOR EVERY FAMILY\u003c/b\u003e\u003c/p\u003e\n\n\u003cp\u003eIf the standard membership rates do not work for your current budget, please tell us what monthly amount would be manageable. We will work with you confidentially to establish a membership arrangement that fits your circumstances.\u003c/p\u003e\n\n\u003cp\u003eEvery membership strengthens our minyanim, programming, facilities, and the community we are building together.\u003c/p\u003e\n","45_name":"doubleclickTo","45_qid":45,"45_type":"control_text","45_order":2,"5_text":"ADULT MALE","5_subHeader":"","5_headerType":"Small","5_name":"clickTo","5_qid":5,"5_type":"control_head","5_order":3,"1_text":"Full Name","1_message":"","1_labelAlign":"Auto","1_required":"No","1_prefix":"No","1_suffix":"No","1_middle":"No","1_description":"","1_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"1_readonly":"No","1_name":"fullName","1_qid":1,"1_type":"control_fullname","1_order":4,"4_text":"Hebrew Name","4_message":"","4_labelAlign":"Auto","4_required":"No","4_prefix":"No","4_suffix":"No","4_middle":"No","4_description":"","4_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"4_readonly":"No","4_name":"fullName4","4_qid":4,"4_type":"control_fullname","4_order":5,"3_text":"Birth Date","3_message":"","3_labelAlign":"Auto","3_required":"No","3_format":"mmddyyyy","3_allowTime":"No","3_timeFormat":"AM/PM","3_showDayPeriods":"both","3_defaultTime":"No","3_onlyFuture":"No","3_step":"10","3_autoCalendar":"Yes","3_description":"","3_startWeekOn":"Sunday","3_sublabels":{"day":"Day","month":"Month","year":"Year","last":"Last Name","hour":"Hour","minutes":"Minutes"},"3_name":"input3","3_qid":3,"3_type":"control_datetime","3_order":6,"23_receivesReceipts":"No","23_text":"E-mail","23_message":"","23_labelAlign":"Auto","23_required":"No","23_size":30,"23_validation":"Email","23_maxsize":"","23_defaultValue":"","23_subLabel":"","23_hint":"ex: myname@example.com","23_description":"","23_confirmation":"No","23_confirmationHint":"Confirm Email","23_readonly":"No","23_name":"email","23_qid":23,"23_type":"control_email","23_order":7,"8_text":"Family","8_message":"","8_labelAlign":"Auto","8_required":"No","8_options":"Kohen|Levi|Yisroel","8_special":"None","8_allowOther":"No","8_otherText":"Other","8_calculateOther":"No","8_selected":"","8_spreadCols":"1","8_description":"","8_name":"input8","8_qid":8,"8_type":"control_radio","8_order":8,"9_text":"Cell Number","9_message":"","9_labelAlign":"Auto","9_required":"No","9_validation":"Numeric","9_countryCode":"No","9_inputMask":"disable","9_inputMaskValue":"(###) ###-####","9_description":"","9_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"9_readonly":"No","9_name":"phoneNumber","9_qid":9,"9_type":"control_phone","9_order":9,"12_text":"Home Number","12_message":"","12_labelAlign":"Auto","12_required":"No","12_validation":"Numeric","12_countryCode":"No","12_inputMask":"disable","12_inputMaskValue":"(###) ###-####","12_description":"","12_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"12_readonly":"No","12_name":"phoneNumber12","12_qid":12,"12_type":"control_phone","12_order":10,"13_text":"ADULT FEMALE","13_subHeader":"","13_headerType":"Small","13_name":"clickTo13","13_qid":13,"13_type":"control_head","13_order":11,"14_text":"Full Name","14_message":"","14_labelAlign":"Auto","14_required":"No","14_prefix":"No","14_suffix":"No","14_middle":"No","14_description":"","14_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"14_readonly":"No","14_name":"fullName14","14_qid":14,"14_type":"control_fullname","14_order":12,"15_text":"Hebrew Name","15_message":"","15_labelAlign":"Auto","15_required":"No","15_prefix":"No","15_suffix":"No","15_middle":"No","15_description":"","15_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"15_readonly":"No","15_name":"fullName15","15_qid":15,"15_type":"control_fullname","15_order":13,"18_text":"Birth Date","18_message":"","18_labelAlign":"Auto","18_required":"No","18_format":"mmddyyyy","18_allowTime":"No","18_timeFormat":"AM/PM","18_showDayPeriods":"both","18_defaultTime":"No","18_onlyFuture":"No","18_step":"10","18_autoCalendar":"Yes","18_description":"","18_startWeekOn":"Sunday","18_sublabels":{"day":"Day","month":"Month","year":"Year","last":"Last Name","hour":"Hour","minutes":"Minutes"},"18_name":"input18","18_qid":18,"18_type":"control_datetime","18_order":14,"25_receivesReceipts":"No","25_text":"E-mail","25_message":"","25_labelAlign":"Auto","25_required":"No","25_size":30,"25_validation":"Email","25_maxsize":"","25_defaultValue":"","25_subLabel":"","25_hint":"ex: myname@example.com","25_description":"","25_confirmation":"No","25_confirmationHint":"Confirm Email","25_readonly":"No","25_name":"email25","25_qid":25,"25_type":"control_email","25_order":15,"17_text":"Family","17_message":"","17_labelAlign":"Auto","17_required":"No","17_options":"Kohen|Levi|Yisroel","17_special":"None","17_allowOther":"No","17_otherText":"Other","17_calculateOther":"No","17_selected":"","17_spreadCols":"1","17_description":"","17_name":"input17","17_qid":17,"17_type":"control_radio","17_order":16,"19_text":"Cell Number","19_message":"","19_labelAlign":"Auto","19_required":"No","19_validation":"Numeric","19_countryCode":"No","19_inputMask":"disable","19_inputMaskValue":"(###) ###-####","19_description":"","19_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"19_readonly":"No","19_name":"phoneNumber19","19_qid":19,"19_type":"control_phone","19_order":17,"21_text":"Home Number","21_message":"","21_labelAlign":"Auto","21_required":"No","21_validation":"Numeric","21_countryCode":"No","21_inputMask":"disable","21_inputMaskValue":"(###) ###-####","21_description":"","21_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"21_readonly":"No","21_name":"phoneNumber21","21_qid":21,"21_type":"control_phone","21_order":18,"27_text":"PERSONAL INFORMATION","27_subHeader":"","27_headerType":"Default","27_name":"clickTo27","27_qid":27,"27_type":"control_head","27_order":19,"26_text":"Address","26_message":"","26_labelAlign":"Auto","26_required":"Yes","26_selectedCountry":"","26_description":"","26_subfields":"st1|st2|city|state|zip|country","26_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"26_name":"address","26_qid":26,"26_type":"control_address","26_order":20,"28_text":"Marital Status","28_message":"","28_labelAlign":"Auto","28_required":"No","28_options":"Single|Married|Divorced|Widowed","28_special":"None","28_size":0,"28_width":150,"28_selected":"","28_subLabel":"","28_description":"","28_emptyText":"","28_name":"input28","28_qid":28,"28_type":"control_dropdown","28_order":21,"29_text":"Anniversary Date","29_message":"","29_labelAlign":"Auto","29_required":"No","29_format":"mmddyyyy","29_allowTime":"No","29_timeFormat":"AM/PM","29_showDayPeriods":"both","29_defaultTime":"No","29_onlyFuture":"No","29_step":"10","29_autoCalendar":"Yes","29_description":"","29_startWeekOn":"Sunday","29_sublabels":{"day":"Day","month":"Month","year":"Year","last":"Last Name","hour":"Hour","minutes":"Minutes"},"29_name":"input29","29_qid":29,"29_type":"control_datetime","29_order":22,"31_text":"Full Name","31_message":"","31_labelAlign":"Auto","31_required":"No","31_prefix":"No","31_suffix":"No","31_middle":"No","31_description":"","31_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"31_readonly":"No","31_name":"fullName31","31_qid":31,"31_type":"control_fullname","31_order":23,"32_text":"Birth Date","32_message":"","32_labelAlign":"Auto","32_required":"No","32_format":"mmddyyyy","32_allowTime":"No","32_timeFormat":"AM/PM","32_showDayPeriods":"both","32_defaultTime":"No","32_onlyFuture":"No","32_step":"10","32_autoCalendar":"Yes","32_description":"","32_startWeekOn":"Sunday","32_sublabels":{"day":"Day","month":"Month","year":"Year","last":"Last Name","hour":"Hour","minutes":"Minutes"},"32_name":"input32","32_qid":32,"32_type":"control_datetime","32_order":24,"33_text":"Full Name","33_message":"","33_labelAlign":"Auto","33_required":"No","33_prefix":"No","33_suffix":"No","33_middle":"No","33_description":"","33_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"33_readonly":"No","33_name":"fullName33","33_qid":33,"33_type":"control_fullname","33_order":25,"36_text":"Birth Date","36_message":"","36_labelAlign":"Auto","36_required":"No","36_format":"mmddyyyy","36_allowTime":"No","36_timeFormat":"AM/PM","36_showDayPeriods":"both","36_defaultTime":"No","36_onlyFuture":"No","36_step":"10","36_autoCalendar":"Yes","36_description":"","36_startWeekOn":"Sunday","36_sublabels":{"day":"Day","month":"Month","year":"Year","last":"Last Name","hour":"Hour","minutes":"Minutes"},"36_name":"input36","36_qid":36,"36_type":"control_datetime","36_order":26,"39_text":"Membership Plan","39_subHeader":"Please choose your membership option.","39_headerType":"Default","39_name":"clickTo39","39_qid":39,"39_type":"control_head","39_order":27,"46_text":"Membership options","46_message":"","46_labelAlign":"Auto","46_required":"No","46_options":"Cubby in coatroom 200/year|Cubby in coatroom 20/month (choose recurrent payment below)|Mikva Membership $360/year|Mikva Membership $36/month (choose recurrent payment below)|Junior Minyan 500/year|Junior Minyan 50/month (choose recurrent payment  below)|Weekday Membership $450/year|Weekday Membership 45/month (choose recurrent  option below)|Weekday Membership with Cubby or Locker $550/year|Weekday Membership with Cubby or Locker 55/month (choose recurrent payment below)|Annual Kiddush Sponsorship $500/year|Annual Kiddush Sponsorhip $50/month (choose recurrent payment below)|Full Membership $1250/year|Full Membership $125/month (choose recurrent payment below)|Chai Sustaining Membership $1800/year|Chai Sustaining Membership $180/month (chooser recurrent payment below)","46_special":"None","46_allowOther":"No","46_otherText":"Other","46_calculateOther":"No","46_spreadCols":"1","46_selected":"","46_minSelection":"","46_maxSelection":"","46_description":"","46_name":"input46","46_qid":46,"46_type":"control_checkbox","46_order":28,"46_pricing":"200|20|360|36|500|50|450|45|550|55|500|50|1250|125|1800|180","43_text":"Payment Recurrence","43_required":"No","43_duplicatable":false,"43_name":"paymentRecurrence","43_qid":43,"43_type":"control_paymentrecurrence","43_order":29,"47_labelAlign":"Auto","47_text":"Total","47_partialPayEnabled":"No","47_partialPayType":"dollar","47_partialPayMinimum":0,"47_required":"No","47_offsetGiftEnabled":"No","47_offsetGift":3,"47_name":"total","47_qid":47,"47_type":"control_totalamount","47_order":30,"24_text":"Optin","24_labelAlign":"Auto","24_description":"","24_required":"No","24_list":"-1","24_duplicatable":false,"24_name":"optin","24_qid":24,"24_type":"control_optin","24_order":31,"41_text":"","41_message":"","41_labelAlign":"Auto","41_required":"No","41_cols":40,"41_rows":6,"41_validation":"None","41_entryLimit":"None-0","41_maxsize":"","41_defaultValue":"","41_subLabel":"","41_hint":"","41_description":"","41_readonly":"No","41_wysiwyg":"Disable","41_name":"input41","41_qid":41,"41_type":"control_textarea","41_order":32,"42_text":"Payment","42_message":"","42_labelAlign":"Auto","42_required":"No","42_duplicatable":false,"42_selectedCountry":"","42_description":"","42_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"42_name":"payment","42_qid":42,"42_type":"control_payform","42_order":33,"42_options":{"currency":"default","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":true},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":3,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"Paypal","enabled":true,"processorIndex":2},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":false,"altText":"","message":""}},"2_text":"Submit","2_buttonAlign":"Auto","2_clear":"No","2_print":"No","2_name":"submit","2_qid":2,"2_type":"control_button","2_order":34,"form_title":"ADULT MALE","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"685","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"}],"form_limitSubmission":"No Limit","form_expireDate":"No Limit","form_messageOfLimitedForm":"This form is currently unavailable!","form_emails":[],"form_language":"","form_sendEmail":"Yes","form_style":"Default","form_theme":"nova","form_id":6762073,"form_stopHighlight":"Yes","form_formStringsChanged":"yes","form_slug":6762073}][0] || {}, window.formJson || {});
window.isSecureForm = true
});

			if (typeof(Userform) ==='undefined')
			{
				Userform={init:function(args){
					$j(function(){
						Userform.init.apply(Userform, [args]);
					})
				},
				setConditions:function(args){
					$j(function(){
						Userform.setConditions.apply(Userform, [args]);
					})
				}};
			}
</script><script type="text/javascript">
   Userform.init(function(){
      Userform.setCalendar("3", false);
      Userform.displayLocalTime("hour_3", "min_3", "ampm_3");
      $('input_23').hint('ex: myname@example.com');
      Userform.setCalendar("18", false);
      Userform.displayLocalTime("hour_18", "min_18", "ampm_18");
      $('input_25').hint('ex: myname@example.com');
      Userform.setCalendar("29", false);
      Userform.displayLocalTime("hour_29", "min_29", "ampm_29");
      Userform.setCalendar("32", false);
      Userform.displayLocalTime("hour_32", "min_32", "ampm_32");
      Userform.setCalendar("36", false);
      Userform.displayLocalTime("hour_36", "min_36", "ampm_36");
      Userform.alterTexts({"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"});
   });
</script>
<style type="text/css" id="GenFormStyles">
    .form-label{
        width:150px !important;
    }
    .form-label-left{
        width:150px !important;
    }
    .form-line{
        padding-top:12px;
        padding-bottom:12px;
    }
    .form-label-right{
        width:150px !important;
    }
    .form-all {
        font-size:14px;
    }
.co_body .content .form-all p {
 font-size:14px;

}
@media screen and (max-width: 600px) {.form-label-left{	float:none;	display:block;}.form-buttons-wrapper.button-align-auto{text-indent: 0!important;}}</style>

<form class="userform-form" action="" method="post" name="form_6762073" id="6762073" accept-charset="utf-8"><input type="hidden" name="formID" value="6762073" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li id="cid_44" class="form-input-wide"> <div class="form-header-group"><h2 id="header_44" class="form-header">Build the Membership that works for you!</h2></div> </li><li class="form-line" id="id_45"><div id="cid_45" class="form-input-wide"> <div id="text_45" class="form-html"><p>Choose the individual options that work for you, or become a<strong> Full Member</strong> and receive the complete package at the best value.</p>

<p><u><span style="font-size:16px;"><b>À LA CARTE OPTIONS</b></span></u></p>

<p><b>CUBBY IN COATROOMS</b></p>

<p>Lockers are reserved for those with membership, full or weekly. Cubbies are only available à la carte after all paying members receive one.</p>

<p>$20 per month</p>

<p>or $200 for one year if paid in full</p>

<p>Subject to availability</p>

<p><b>MIKVAH MEMBERSHIP</b></p>

<p>$36 per month</p>

<p>or $360 for one year if paid in full</p>

<p><b>JUNIOR MINYAN</b></p>

<p>$50 per month</p>

<p>or $500 for one year if paid in full</p>

<p><b>WEEKDAY MEMBERSHIP</b></p>

<p>$45 per month</p>

<p>or $450 for one year if paid in full</p>

<p><b>WEEKDAY MEMBERSHIP WITH LOCKER OR CUBBY</b></p>

<p>Subject to availability</p>

<p>$55 per month</p>

<p>or $550 for one year if paid in full</p>

<p><b>ANNUAL KIDDUSH SPONSORSHIP</b></p>

<p>One Kiddush sponsorship</p>

<p>$50 per month</p>

<p>or $500 for one year if paid in full</p>

<p><b>FULL MEMBERSHIP: THE BEST VALUE</b></p>

<p>Full Membership includes:</p>

<p>• Full Shabbos, Yom Tov, and weekday use of the shul</p>

<p>• Mikvah membership</p>

<p>• Junior Minyan</p>

<p>• Annual partial Kiddush sponsorship</p>

<p>• A locker or coatroom cubby, subject to availability</p>

<p>• All regular Full Membership rights and benefits</p>

<p>$125 per month</p>

<p>or $1,250 for one year if paid in full</p>

<p>The listed benefits are worth up to $1,910 when selected individually. Full Membership brings everything together for $1,250 annually, a potential savings of $660.</p>

<p><b>PAY ANNUALLY AND RECEIVE TWO MONTHS FREE</b></p>

<p>Monthly memberships are paid over 12 months. When you pay annually in advance, you pay the equivalent of only 10 monthly payments.</p>

<p><b>CHAI SUSTAINING MEMBERSHIP</b></p>

<p>For those who would like to provide additional support to the shul and help make membership possible for others:</p>

<p>$180 per month</p>

<p>or $1,800 for one year if paid in full</p>

<p><b>MEMBERSHIP SHOULD WORK FOR EVERY FAMILY</b></p>

<p>If the standard membership rates do not work for your current budget, please tell us what monthly amount would be manageable. We will work with you confidentially to establish a membership arrangement that fits your circumstances.</p>

<p>Every membership strengthens our minyanim, programming, facilities, and the community we are building together.</p>
</div> </div></li><li id="cid_5" class="form-input-wide"> <div class="form-header-group"><h3 id="header_5" class="form-header">ADULT MALE</h3></div> </li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Full Name </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Hebrew Name </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q4_fullName4[first]" id="first_4" autocomplete="given-name" />  <label class="form-sub-label" for="first_4" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q4_fullName4[last]" id="last_4" autocomplete="family-name" />  <label class="form-sub-label" for="last_4" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Birth Date </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="month_3" name="q3_input3[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_3" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox" id="day_3" name="q3_input3[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_3" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="year_3" name="q3_input3[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_3" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_3_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_3_pick"><span> </span></label></span></div></div> </div></li><li class="form-line" id="id_23"><div class="form-label-left" id="label_23"><label for="input_23"> E-mail </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_23" name="q23_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Family </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_8_0" name="q8_input8" value="Kohen" /><label id="label_input_8_0" for="input_8_0"><span>Kohen</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_8_1" name="q8_input8" value="Levi" /><label id="label_input_8_1" for="input_8_1"><span>Levi</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_8_2" name="q8_input8" value="Yisroel" /><label id="label_input_8_2" for="input_8_2"><span>Yisroel</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Cell Number </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q9_phoneNumber[area]" id="input_9_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_9_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q9_phoneNumber[phone]" id="input_9_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_9_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Home Number </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q12_phoneNumber12[area]" id="input_12_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_12_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q12_phoneNumber12[phone]" id="input_12_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_12_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li id="cid_13" class="form-input-wide"> <div class="form-header-group"><h3 id="header_13" class="form-header">ADULT FEMALE</h3></div> </li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Full Name </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q14_fullName14[first]" id="first_14" autocomplete="given-name" />  <label class="form-sub-label" for="first_14" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q14_fullName14[last]" id="last_14" autocomplete="family-name" />  <label class="form-sub-label" for="last_14" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Hebrew Name </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q15_fullName15[first]" id="first_15" autocomplete="given-name" />  <label class="form-sub-label" for="first_15" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q15_fullName15[last]" id="last_15" autocomplete="family-name" />  <label class="form-sub-label" for="last_15" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Birth Date </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="month_18" name="q18_input18[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_18" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox" id="day_18" name="q18_input18[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_18" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="year_18" name="q18_input18[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_18" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_18_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_18_pick"><span> </span></label></span></div></div> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> E-mail </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_25" name="q25_email25" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Family </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_17_0" name="q17_input17" value="Kohen" /><label id="label_input_17_0" for="input_17_0"><span>Kohen</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_17_1" name="q17_input17" value="Levi" /><label id="label_input_17_1" for="input_17_1"><span>Levi</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_17_2" name="q17_input17" value="Yisroel" /><label id="label_input_17_2" for="input_17_2"><span>Yisroel</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> Cell Number </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q19_phoneNumber19[area]" id="input_19_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_19_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q19_phoneNumber19[phone]" id="input_19_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_19_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_21"><div class="form-label-left" id="label_21"><label for="input_21"> Home Number </label><label class="label-message" for="input_21"> </label></div><div id="cid_21" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q21_phoneNumber21[area]" id="input_21_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_21_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q21_phoneNumber21[phone]" id="input_21_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_21_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li id="cid_27" class="form-input-wide"> <div class="form-header-group"><h2 id="header_27" class="form-header">PERSONAL INFORMATION</h2></div> </li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> Address<span class="form-required">*</span> </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q26_address[addr_line1]" id="input_26_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_26_addr_line1" id="sublabel_26_addr_line1">Street Address</label></span></td></tr><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q26_address[addr_line2]" id="input_26_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" for="input_26_addr_line2" id="sublabel_26_addr_line2">Street Address Line 2</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q26_address[city]" id="input_26_city" size="21" autocomplete="address-level2" />  <label class="form-sub-label" for="input_26_city" id="sublabel_26_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q26_address[state]" id="input_26_state" size="22" autocomplete="address-level1" />  <label class="form-sub-label" for="input_26_state" id="sublabel_26_state">State / Province</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q26_address[postal]" id="input_26_postal" size="10" autocomplete="postal-code" />  <label class="form-sub-label" for="input_26_postal" id="sublabel_26_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q26_address[country]" id="input_26_country" autocomplete="country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_26_country" id="sublabel_26_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> Marital Status </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_28" name="q28_input28"><option value=""></option><option value="Single">Single</option><option value="Married">Married</option><option value="Divorced">Divorced</option><option value="Widowed">Widowed</option></select> </div></li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> Anniversary Date </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="month_29" name="q29_input29[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_29" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox" id="day_29" name="q29_input29[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_29" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="year_29" name="q29_input29[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_29" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_29_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_29_pick"><span> </span></label></span></div></div> </div></li><li class="form-line" id="id_31"><div class="form-label-left" id="label_31"><label for="input_31"> Full Name </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q31_fullName31[first]" id="first_31" autocomplete="given-name" />  <label class="form-sub-label" for="first_31" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q31_fullName31[last]" id="last_31" autocomplete="family-name" />  <label class="form-sub-label" for="last_31" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Birth Date </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="month_32" name="q32_input32[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_32" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox" id="day_32" name="q32_input32[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_32" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="year_32" name="q32_input32[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_32" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_32_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_32_pick"><span> </span></label></span></div></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Full Name </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q33_fullName33[first]" id="first_33" autocomplete="given-name" />  <label class="form-sub-label" for="first_33" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q33_fullName33[last]" id="last_33" autocomplete="family-name" />  <label class="form-sub-label" for="last_33" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_36"><div class="form-label-left" id="label_36"><label for="input_36"> Birth Date </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="month_36" name="q36_input36[month]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="month_36" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="noDefault form-textbox" id="day_36" name="q36_input36[day]" type="tel" size="2" maxlength="2" value="" />  <label class="form-sub-label" for="day_36" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox" id="year_36" name="q36_input36[year]" type="tel" size="4" maxlength="4" value="" />  <label class="form-sub-label" for="year_36" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_36_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_36_pick"><span> </span></label></span></div></div> </div></li><li id="cid_39" class="form-input-wide"> <div class="form-header-group"><h2 id="header_39" class="form-header">Membership Plan</h2><div id="subHeader_39" class="form-subHeader">Please choose your membership option.</div></div> </li><li class="form-line" id="id_46"><div class="form-label-left" id="label_46"><label for="input_46"> Membership options </label><label class="label-message" for="input_46"> </label></div><div id="cid_46" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_0" name="q46_input46[]" value="Cubby in coatroom 200/year" /><label id="label_input_46_0" for="input_46_0"><span>Cubby in coatroom 200/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_1" name="q46_input46[]" value="Cubby in coatroom 20/month (choose recurrent payment below)" /><label id="label_input_46_1" for="input_46_1"><span>Cubby in coatroom 20/month (choose recurrent payment below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_2" name="q46_input46[]" value="Mikva Membership $360/year" /><label id="label_input_46_2" for="input_46_2"><span>Mikva Membership $360/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_3" name="q46_input46[]" value="Mikva Membership $36/month (choose recurrent payment below)" /><label id="label_input_46_3" for="input_46_3"><span>Mikva Membership $36/month (choose recurrent payment below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_4" name="q46_input46[]" value="Junior Minyan 500/year" /><label id="label_input_46_4" for="input_46_4"><span>Junior Minyan 500/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_5" name="q46_input46[]" value="Junior Minyan 50/month (choose recurrent payment  below)" /><label id="label_input_46_5" for="input_46_5"><span>Junior Minyan 50/month (choose recurrent payment  below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_6" name="q46_input46[]" value="Weekday Membership $450/year" /><label id="label_input_46_6" for="input_46_6"><span>Weekday Membership $450/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_7" name="q46_input46[]" value="Weekday Membership 45/month (choose recurrent  option below)" /><label id="label_input_46_7" for="input_46_7"><span>Weekday Membership 45/month (choose recurrent  option below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_8" name="q46_input46[]" value="Weekday Membership with Cubby or Locker $550/year" /><label id="label_input_46_8" for="input_46_8"><span>Weekday Membership with Cubby or Locker $550/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_9" name="q46_input46[]" value="Weekday Membership with Cubby or Locker 55/month (choose recurrent payment below)" /><label id="label_input_46_9" for="input_46_9"><span>Weekday Membership with Cubby or Locker 55/month (choose recurrent payment below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_10" name="q46_input46[]" value="Annual Kiddush Sponsorship $500/year" /><label id="label_input_46_10" for="input_46_10"><span>Annual Kiddush Sponsorship $500/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_11" name="q46_input46[]" value="Annual Kiddush Sponsorhip $50/month (choose recurrent payment below)" /><label id="label_input_46_11" for="input_46_11"><span>Annual Kiddush Sponsorhip $50/month (choose recurrent payment below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_12" name="q46_input46[]" value="Full Membership $1250/year" /><label id="label_input_46_12" for="input_46_12"><span>Full Membership $1250/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_13" name="q46_input46[]" value="Full Membership $125/month (choose recurrent payment below)" /><label id="label_input_46_13" for="input_46_13"><span>Full Membership $125/month (choose recurrent payment below)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_14" name="q46_input46[]" value="Chai Sustaining Membership $1800/year" /><label id="label_input_46_14" for="input_46_14"><span>Chai Sustaining Membership $1800/year</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_46_15" name="q46_input46[]" value="Chai Sustaining Membership $180/month (chooser recurrent payment below)" /><label id="label_input_46_15" for="input_46_15"><span>Chai Sustaining Membership $180/month (chooser recurrent payment below)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_43"><div class="form-label-left form-label-hidden" id="label_43"></div><div id="cid_43" class="form-input"> <div class="form-single-column form-checkbox-item">		<input type="checkbox" id="input_43" class="form-checkbox" name="q43_paymentrecurrence" value="Monthly" />		<label id="label_43" for="input_43">Yes, I'd like to make this a monthly recurring payment.</label>		<div class="clearfix"></div>		</div> </div></li><li class="form-line" id="id_47"><div class="form-label-left" id="label_47"><label for="input_47"> Total </label></div><div id="cid_47" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_24"><div class="form-label-left form-label-hidden" id="label_24"></div><div id="cid_24" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" class="form-checkbox" id="input_24" /><label id="label_input_24" for="input_24">I would like to receive news and updates from Chabad Lubavitch of Western PA by email. I understand that information I provide to Chabad Lubavitch of Western PA will be used according to its <a href="/4026210" target="_blank">Privacy Policy</a> and I can unsubscribe at any time.</label></div> </div></li><li class="form-line" id="id_41"><div class="form-label-left" id="label_41"><label for="input_41">  </label><label class="label-message" for="input_41"> </label></div><div id="cid_41" class="form-input"> <textarea id="input_41" class="form-textarea" name="q41_input41" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_42"><div class="form-label-left" id="label_42"><label for="input_42"> Payment </label><label class="label-message" for="input_42"> </label></div><div id="cid_42" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_42_creditCard" name="q42_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_42_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_42_paypal" name="q42_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_42_paypal">Paypal</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q42_payment[cc_type]" id="input_42_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q42_payment[cc_number]" id="input_42_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_42_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q42_payment[cc_ccv]" id="input_42_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_42_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q42_payment[cc_nameOnCard]" id="input_42_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_42_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q42_payment[cc_exp_month]" id="input_42_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_42_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q42_payment[cc_exp_year]" id="input_42_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_42_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. Payment will take place on the next page.</td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q42_payment[addr_line1]" id="input_42_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_42_addr_line1" id="sublabel_42_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q42_payment[city]" id="input_42_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_42_city" id="sublabel_42_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q42_payment[state]" id="input_42_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_42_state" id="sublabel_42_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q42_payment[postal]" id="input_42_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_42_postal" id="sublabel_42_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q42_payment[country]" id="input_42_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_42_country" id="sublabel_42_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="6762073" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "6762073-6762073";</script><div>


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="0586eead-6657-4ab7-b19a-2c7e9b6d3995" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="0586eead-6657-4ab7-b19a-2c7e9b6d3995"></div>	
</div></form></div>
<div class="center small">
	<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"> This page uses TLS encryption to keep your data secure.
</div>
	<div class="break_floats"></div>
	

<div class="content-footer">
	
	
	
	
	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
					<div class="ads g260" id="co_ads_container">
						
	



<div class="sidebar-local-navigation cf" id="">

<meta class="js-desktop-local-nav" data-base-class="co_local_menu" />

	<div class="co_local_menu local_content js-local-nav" data-list-name="local navigation">
		
			
				<div class="header ">			
					
						<div class="section_title">
						<div><a data-menu-level="0" data-aid="6754201" href="/templates/articlecco_cdo/aid/6754201/jewish/Lubavitch-Center-programs.htm">Lubavitch Center programs</a></div>
						</div>
					
				</div>
				<div class="clearfix body medium_bottom_margin">
					
							
							
								<div class="item selected first" data-menu-level="1">
									<a data-aid="6762073" href="/templates/articlecco_cdo/aid/6762073/jewish/Membership-Form-5787.htm"><span>Membership Form 5787</span></a>
									
								</div>
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6771264" href="/templates/articlecco_cdo/aid/6771264/jewish/Weekly-Shul-Kiddush.htm"><span>Weekly Shul Kiddush</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6771286" href="/templates/articlecco_cdo/aid/6771286/jewish/Pittsburgh-Eiruv-Map.htm"><span>Pittsburgh Eiruv Map</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6775577" href="/templates/articlecco_cdo/aid/6775577/jewish/Community-Resources.htm"><span>Community Resources</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6796822" href="/templates/articlecco_cdo/aid/6796822/jewish/Mens-Mikvah-Information.htm"><span>Men's Mikvah Information</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6792133" href="/templates/articlecco_cdo/aid/6792133/jewish/Sell-Your-Chametz-Form.htm"><span>Sell Your Chametz Form</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6910317" href="/templates/articlecco_cdo/aid/6910317/jewish/Calendar-Ad-Form.htm"><span>Calendar Ad Form</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6954824" href="/templates/articlecco_cdo/aid/6954824/jewish/Lubavitch-Center-Library.htm"><span>Lubavitch Center Library</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="6976142" href="/templates/articlecco_cdo/aid/6976142/jewish/Yagdil-Torah.htm"><span>Yagdil Torah</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="7029462" href="/templates/articlecco_cdo/aid/7029462/jewish/Lubavitch-Center-Space-Rental.htm"><span>Lubavitch Center Space Rental</span></a>
								</div>
							
							
						
							
								<div class="item" data-menu-level="1">
									<a data-aid="7038533" href="/templates/articlecco_cdo/aid/7038533/jewish/Buy-Esrog-5787.htm"><span>Buy Esrog 5787</span></a>
								</div>
							
							
						
							
								<div class="item last" data-menu-level="1">
									<a data-aid="7396647" href="/templates/articlecco_cdo/aid/7396647/jewish/Minhagim-of-Gimel-Tamuz.htm"><span>Minhagim of Gimel Tamuz</span></a>
								</div>
							
							
						<div class="separator"></div>
				</div>
			
			
			
	<div id="LocalNavigationQuickLinks" class="clearfix secondary_navigation local-navigation-quick-links container padding">
		<div class="header small_bottom_padding">
			<div>Quick Links</div>
		</div>

		
				<div class="item ">
					<a href="/6757806"><span><span>membership form</span></span></a>
				</div>
			
				<div class="item ">
					<a href="/6791542"><span><span>Buy Matzah</span></span></a>
				</div>
			
				<div class="item ">
					<a href="/tools/feedback.asp"><span><span>Contact</span></span></a>
				</div>
			
				<div class="item ">
					<a href="/tools/subscribe/default_cdo"><span><span>Subscribe</span></span></a>
				</div>
			
				<div class="item ">
					<a href="/4970020"><span><span>Donate</span></span></a>
				</div>
			
	</div>

		
	</div>
</div>


	

					</div>
				
				
			</div>
			
			
		</div>
		
		<aside class="page-tools-sidebar js-page-tools-sidebar hide_for_print">
<div class="page-tools js-page-tools-menu">
<div class="page-tools__section page-tools__section--share">
<a class="page-tools__tool js-share-popup page-tools__tool--facebook" data-share-url="https://www.facebook.com/dialog/share?app_id=188669250943&amp;display=popup&amp;href=https%3a%2f%2fwww.lubavitchcenter.org%2ftemplates%2farticlecco_cdo%2faid%2f6762073%2fjewish%2fMembership-Form-5787.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dFB">
				<i class="fa fa-facebook"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--twitter" data-share-url="https://twitter.com/intent/tweet?text=Membership+Form+-+Lubavitch+Center&amp;url=https%3a%2f%2fwww.lubavitchcenter.org%2ftemplates%2farticlecco_cdo%2faid%2f6762073%2fjewish%2fMembership-Form-5787.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dtwitter&amp;via=Chabad">
				<i class="fa fa-twitter"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--whatsapp d-lg-none js-share-whatsapp" data-share-url="whatsapp://send?text=Membership+Form+-+Lubavitch+Center https%3a%2f%2fwww.lubavitchcenter.org%2ftemplates%2farticlecco_cdo%2faid%2f6762073%2fjewish%2fMembership-Form-5787.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dwhatsapp">
				<i class="fa fa-whatsapp">
					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 50 50" fill="#128c7e" width="1em" height="1em"><path d="M25 2C12.318 2 2 12.318 2 25c0 3.96 1.023 7.854 2.963 11.29L2.037 46.73c-.096.343-.003.711.245.966.191.197.451.304.718.304.08 0 .161-.01.24-.029l10.896-2.699C17.463 47.058 21.21 48 25 48c12.682 0 23-10.318 23-23S37.682 2 25 2zm11.57 31.116c-.492 1.362-2.852 2.605-3.986 2.772-1.018.149-2.306.213-3.72-.231-.857-.27-1.957-.628-3.366-1.229-5.923-2.526-9.791-8.415-10.087-8.804-.295-.389-2.411-3.161-2.411-6.03s1.525-4.28 2.067-4.864c.542-.584 1.181-.73 1.575-.73s.787.005 1.132.021c.363.018.85-.137 1.329 1.001.492 1.168 1.673 4.037 1.819 4.33.148.292.246.633.05 1.022s-.294.632-.59.973-.62.76-.886 1.022c-.296.291-.603.606-.259 1.19s1.529 2.493 3.285 4.039c2.255 1.986 4.158 2.602 4.748 2.894.59.292.935.243 1.279-.146.344-.39 1.476-1.703 1.869-2.286s.787-.487 1.329-.292c.542.194 3.445 1.604 4.035 1.896.59.292.984.438 1.132.681.148.242.148 1.41-.344 2.771z"/></svg>
				</i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--pinterest d-none d-lg-block" data-share-url="http://pinterest.com/pin/create/button/?url=https%3a%2f%2fwww.lubavitchcenter.org%2ftemplates%2farticlecco_cdo%2faid%2f6762073%2fjewish%2fMembership-Form-5787.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dpinterest&amp;description=Membership+Form+-+Lubavitch+Center">
				<i class="fa fa-pinterest"></i>
			</a>
<a class="page-tools__tool" onclick="showEmailLayer(this);">
<i class="fa fa-envelope"></i>
</a>
</div>
<div class="page-tools__section page-tools__section--other js-page-tool-other">
<div class="page-tools__tool popover-parent d-lg-block">
<div class="popover popover--right align_left nowrap">
<div class="popover__content">
<label class="bold bottom_margin block">
Print Options:
</label>
<form class="vcenter" name="print-form" onsubmit="coPrint(event, 6754201);return false;">
<div>
<label><input type="checkbox" name="print-green"><span title="Save paper and ink">Print without images <i class="fa fa-leaf text-green"></i></span></label>
</div>
<br/>
<div class="center">
<button class="co-button page-tools__print-button">Print</button>
</div>
</form>
</div>
</div>
<i class="fa fa-print"></i>
</div>
</div>
</div>
<div class="js-fab-wrapper fab-wrapper">
<div class="fab">
<i class="fab-icon"></i>
</div>
</div>
</aside>
<!-- END CACHE -->
	</div>

				<div class="break_floats"></div>
			</div>
		</div>
	</div>
	<div id="footer">
		
	

		<div class="wrapper body_container">
			
				<div class="g960 footer_family_text bottom_padding">
					
		<div class="footer_container footer_text copyright_text">
			<div class="bottom_padding clear_float">
				<img class="footer_hr" src="https://w2.chabad.org/images/global/spacer.gif" vspace="12" width="100%" height="1" /><br />
				
				<div class="footer_inner_container clearfix">
					

					



	<div class="footer3">
		<span class="footer-title" >Lubavitch Center</span>
		<div class="footer-address">
			<span class="footer-street">2100 Wightman Street </span>
			<span class="footer-city-state">Pittsburgh, PA 15217</span>
		</div>
			<span>412-785-7428</span>
	</div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />



Powered by <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> &copy; 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">Privacy Policy</a>




					
				</div>
			</div>
		</div>
	
				</div>
			
		</div>
	</div>

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?v=278824AF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery.inputmask.min.js?v=BF33D3B4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?v=6777A16C"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?v=C73B7DD6"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/sites6.js?v=E04072E1"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/primarynavigation.js?v=76ABCD73"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/modules/pagetools.js?v=930B07AB"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/BetaFeedback.js?v=2A22CA16"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/forms/userform.js?v=E69144BF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/article/comments/reply-form-controller.js?v=A9327DC7"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Lubavitch Center'}; Co.ArticleId     = '6762073';Co.SectionId     = 6754201;Co.PartnerSiteId = 0;Co.SiteId        = 1183;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'LubavitchCenter.org';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script>

    

</body>
</html>