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 15 we will auto-renew your membership at the same level, payment method, and plan. Membership runs from September 1, 2025 through August 31, 2026. Thank you for renewing your membership! Section 1: Personal Information Full Name* First Name Last Name E-mail Section 2: Membership Levels A mandatory Annual Security Fee of $300 will be added on to each membership level, according to the payment schedule you have selected. 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 9/1/25) Senior Family (Ages 66 & over) Annual - $1,675Bi-Annual - $837.50Quarterly - $418.75Monthly - $139.58 Family (Ages 35-65) Annual - $2,000Bi-Annual - $1,000Quarterly - $500Monthly - $166.66 Young Family (Ages 34 & under) Annual - $1,000Bi-Annual - $500Quarterly - $250Monthly - $83.33 Single or Single Parent Annual - $1,300Bi-Annual - $650Quarterly - $325Monthly - $108.33 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 Please charge my: VisaM/CAMEX Card Number* Exp. Date* CVV* Funds will be charged on the 5th of the month, beginning September 5th, 2025, per the payment plan that you chose. Account Type CheckingSaving Bank Name Bank Routing Number Bank Account Number Account Holder's Name Funds will be charged on the 5th of the month, beginning September 5th, 2025, 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 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.