Membership runs from September 1, 2024 through August 31, 2025. Section 1: Personal Information Full Name First Name Last Name E-mail Section 2: Membership Levels 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 9/1/24) A mandatory Annual Security Fee of $150 will be added on to each membership level, according to the payment schedule you have selected. Family (Ages 35-65) Annual - $2,000Bi-Annual - $1,000Quarterly - $500Monthly - $166.66 Senior Family (Ages 66 & over) Annual - $1,675Bi-Annual - $837.50Quarterly - $418.75Monthly - $139.58 Young Family (Ages 30-34) Annual - $1,500Bi-Annual - $750Quarterly - $375Monthly - $125 Single or Single Parent Annual - $1,300Bi-Annual - $650Quarterly - $325Monthly - $108.33 New Family (Both under 30) Annual - $700Bi-Annual - $350Quarterly - $175Monthly - $58.33 Section 3: Additional Support I cannot be a Chai Member donor, but I would like to make a contribution of (fill out below), above and beyond my membership, to help expand our programs and help those in need of scholarships. Amount $ I would like to contribute the above total amount per the payment schedule: One-Time PaymentBi-AnnualQuarterlyMonthly Section 4: Payment Options Paying By:* CheckDonor Advised FundCredit Card / Debit CardACH Debit Cardholder First Name Cardholder Last Name Cardholder's E-mail Please charge my: VisaM/CAMEX Card Number Exp. Date CVV Account Type CheckingSaving Bank Name Bank Routing Number Bank Account Number Account Holder's Name Please make your check out to Chabad of Plano, and mail it to Chabad of Plano 3904 West Park Blvd, Plano TX 75075. Funds will be charged on the 5th of the month, beginning September 5th, 2024, per the payment plan that you selected. Funds will be charged on the 5th of the month, beginning September 5th, 2024, per the payment plan that you selected. Request for Financial Assistance 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 Enter the message as it's shown* I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.