You only need to fill out this form if you are changing your membership level, payment method, and/or payment plan. If you do not fill out this form by August 17, 2026, we will auto-renew your membership at the same level, payment method, and plan. Membership runs from September 1, 2026 through August 31, 2027. Thank you for renewing your membership! Section 1: Personal Information Full Name* First Name Last Name E-mail Section 2: Membership Levels An annual Security Fee of $300 is included in each membership level according to the payment schedule. Chai Level Memberships: Chai Benefactor Annual - $5,000Bi-Annual - $2,500Quarterly - $1,250Monthly - $416.66 Chai Patron Annual - $3,600Bi-Annual - $1,800Quarterly - $900Monthly - $300 Chai Friend Annual - $2,500Bi-Annual - $1,250Quarterly - $625Monthly - $208.33 General Memberships: (Age groups are determined by the oldest household member as of 9/1/26) Senior Family (Ages 66 & over) Annual - $1,975Bi-Annual - $987.50Quarterly - $493.75Monthly - $164.58 Family (Ages 35-65) Annual - $2,300Bi-Annual - $1,150Quarterly - $575Monthly - $191.67 Chabad Young Family (CYP) Annual - $1,200Bi-Annual - $600Quarterly - $300Monthly - $150 Single or Single Parent Annual - $1,600Bi-Annual - $800Quarterly - $400Monthly - $133.33 Section 3: Payment Method Paying By: Credit Card / Debit CardACH DebitCheck / Donor Advised Fund (full payment only) Cardholder First Name Cardholder Last Name Cardholder's E-mail We will place a $1 charge on your card to save your payment information into our system. Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country $1 Total $0.00 Account Type CheckingSaving Bank Name Bank Routing Number Bank Account Number Account Holder's Name Funds will be charged on the 1st of the month, beginning September 1st, 2026, per the payment plan that you chose. Please make your check out to Chabad of Plano, and mail it to Chabad of Plano 3904 West Park Blvd, Plano TX 75075. Request for Financial Assistance Nobody will be turned away due to lack of funds. I'd like to request financial assistance Chabad of Plano wishes to accept all who want to be members and participate in its programs regardless of financial means. Our financial chair, Stan Rothstein, will contact you and a mutually agreed upon fee will be arranged. This will occur in a strictly confidential manner. No person or family will be turned away due to lack of financial means. Please fill out the following: Reason I would like to receive news and updates by email $50$75$100 Submit Should be Empty: This page uses TLS encryption to keep your data secure.