Please print this form and return to the office.

CONGREGATION BHH KESSER MAARIV AL
www.kessermaariv.org
MEMBERSHIP INFORMATION
KESSER MAARIV NEW YEAR GREETING ORDER FORM
LULAV SET ORDER FORM

On behalf of the Board of Directors, President Steven Goldrich and Rabbi Louis Lazovsky, we are proud to invite you to join us for our High Holiday 5782 Services this year, beginning with Selichot on Saturday evening, August 28th. Rosh Hashana begins Monday night, September 6th. We are committed to having safe, indoor services for the High Holidays. This will include having assigned seats - please fill out form here.

Membership & Ticket Rates Family (2 tickets) Single (1 ticket) Additional Seat Dependent Child
Membership $1,100 $550 $200 $75
First Time Good Neighbor Tickets $500 $275 $200 $75
Tickets Only, no membership  $550  $200
Friend of Kesser Maariv (no tickets or membership)  $200
To serve you better, we accept payments of $500 and above by Visa, Master Card, Discover, PayPal and American Express.

Rabbi Ben Zion Lazovsky at (847) 679-9800 bhhkmal@yahoo.com or Judy Whisler at (847) 677-2281 j5awhisler@aol.com will be happy to help accommodate you and give more information about membership.

---------------------------------------------------------------------------------------------------------------------------------

[] My membership is enclosed. Short Survey about your seat needs: click here
Number of Men's Seats: ________ Number of Women's Seats: _______

Number of Boys’ Seats: ________ Number of Girls’ Seats: _________

[] I would like to order _____ Lulav sets sets at $50/member or $55/non-member

[] Please include us on the KM New Year greeting card. $26 per family.
          Please sign our name as follows: ________________________________

----------------------------------------------------------------------------------------------------------------------------------

Name: _______________________________________________________________________________

Address: _______________________________________________________________________________

City, State & Zip Code: _________________________________________ Phone : __________________

E-mail: _______________________________________ and __________________________________________

---------------------------- For Credit Card Payments: ---------------------------------------------------------------------------

I authorize Kesser Maariv to charge my __________ card.

Name on Card_______________________ Amount to be charged: ________________

Card # _________-_________-_________-_________ Exp: ____ ____ 3-digit Security Code:__________

Signed _____________________________ Date _________