Chabad of Central Florida
 
Sunday, December 17, 2017 - 29 Kislev 5778
 
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5:22 PM in Tampa, FL
Shabbat Ends 6:18 PM
Friday, 22 Dec 2017
Parashat 
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Membership Form

Welcome to Chabad of Central Florida.  To serve the Tampa Bay area, we have three Congregations working together to meet all of your needs.  We encourage you to become a member of the Shul of your choice.  As a member of any of the three Synagogues, you enjoy the benefits of all three.

 

Merkos Chabad Lubavitch of Central Florida
Cong. Bais (Temple) David
Rabbi Lazer & Devorah Rivkin
Regional Directors
2001 W. Swann Ave.
Tampa, FL 33606
Tel. 813-966-8770
info@chabadofcentralflorida.com
www.chabadofcentralflorida.com
Chabad House Jewish Student Center USF, Wesley Chapel, Tampa Palms, Temple Terrace
& New Tampa
Rabbi Uriel & Dvorki Rivkin
5205 E131st Ave, Tampa FL, 33606
Tel. 813-832-3018, 813-983-9770
chabadusf@gmail.com
www.chabadhouseusf.org

Cong. Bais Menachem Chabad
University of Tampa Jewish Student Center,Stetson Law School, Hillsborough Community College, Downtown Tampa, Harbor & Davis Islands
Rabbi Levi & Chana Rivkin
1319 North B St,
Tampa, FL 33606
Tel.  813-504-4432
bmchabad@gmail.com
www.bmchabad.com
www.chabadut.org

 Become a Partner Today! 

SECTION I:  YOUR INFORMATION                       SECTION II: SPOUSE INFORMATION 
Name Name
Hebrew Name Hebrew Name
Father's Hebrew Name Father's Hebrew Name
Mother's Hebrew Name Mother's Hebrew Name
Occupation Occupation
Date of Birth Date of Birth
Jewish by: Birth                    Converstion Jewish by: Birth                    Converstion
Check One: Kohen Levi Yisroel Check One: Kohen Levi Yisroel
SECTION III: PERSONAL INFORMATION
Address Email:
City/State/Zip Email spouse
Home Phone cell:
Work Phone Spouse Cell:
Work Fax Anniversary Date:
Martial Status If Divorced Do you have a Jewish "Get" yes no

 

SECTION IV: CHILDREN
1) Name Hebrew Name Date of Birth
2) Name Hebrew Name Date of Birth
3) Name Hebrew Name Date of Birth
4) Name Hebrew Name Date of Birth
5) Name Hebrew Name Date of Birth  
Are any children adopted?yes no      

If yes, give details,

including any conversion info:

 

SECTION V: YAHRZEIT INFORMATION
1) Name of Deceased Date (M/D/Y) Hebrew Date    (if known)
2) Name of Deceased Date (M/D/Y) Hebrew Date    (if known)
3) Name of Deceased Date (M/D/Y) Hebrew Date    (if known)
4) Name of Deceased Date (M/D/Y) Hebrew Date    (if known)
5) Name of Deceased Date (M/D/Y) Hebrew Date    (if known)

 

SECTION VI: PARTNERSHIP OPPORTUNITES
In our effort to be inclusive for families of all income levels, Partnership Opportunities have been designed within a wide range. However, if you are capable, please consider participating at a higher level. This will allow us to cover our expenses and continue to expand our programs, services and long term goals. All Partnership gifts can be made in one installment or in 12 monthly installments. Please check the option of your choice. Nobody will be turned away due to lack of funds.
Founder $2,000 Monthly - $24,000 Yearlyb
Platinum Partnership $1,000 Monthly - $12,000 Yearly
Gold Partnership   $500 Monthly - $6,000 Yearly
Double Chai Partnership   $360 Monthly - $4,320 Yearly
Silver Partnership $300 Monthly - $3,600 Yearly
Bronze Partnership $250 Monthly - $3,000 Yearly
Chai Partnership   $150 Monthly - $1,800 Yearly
Family Partnership $100  Monthly - $1,200 Yearly
Associate Partnership $75  Monthly - $900 Yearly
Other

I wish to pay the full annual donation
 I wish to pay 12 Month Installments

You will be charged at the beggining of each month.
Begin payments on:
Other:

* All contributions are tax deductible and can be paid throughout the year. No one is turned away for lack of funds. If you cannot afford the full amount requested, contact the Rabbi for a confidential arrangement.

*Type the code you see in the picture below.(Letters are not case-sensitive)
     
 

 


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©Copyright Merkos Chabad Lubavitch of Central Florida
2001 W. Swann Ave. Tampa, FL 33606 - Rabbi Lazer Rivkin, Regional Director - 813-966-8770
Email: info@chabadofcentralflorida.com

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