5772 Membership Registration

Dual Adult Membership Fees for 5772 are $2,100 and include High Holiday tickets for two qualifying adult members and all qualifying children living at home or away for school.

Individual Adult Membership fees for 5772 are $1,050 and include High Holiday tickets for one qualifying adult member and all qualifying children living at home or away for school.

If you would like to consider membership by experiencing our High Holiday services, you may sign up as a guest. Guest tickets are $250 per adult. Special young adult (under 30 years) or current student rate is $125 per ticket.

Supporting membership subscriptions are $100 and are available for those who live out of the area or others who desire to support Aitz Hayim and to receive notice of our programs.
Supporting membership subscriptions do not include High Holiday tickets.

Payment received now is greatly appreciated. Thank you!

How will you be paying membership dues?
 Check Paypal - (use Paypal Donate button on the right) Credit Card (Phone the Aitz Hayim office to confirm that your credit card information is current. 847-835-3232)

Membership Type

Last Name

First Name

Last Name (2nd person if applicable)

First Name (2nd person if applicable)

Address

City, State, Zip

Phone Number

Email Address

List the names of all member children living at home or students away.

Child's Full Name

Age

Child's Full Name

Age

Child's Full Name

Age

Child's Full Name

Age

Child's Full Name

Age