Membership Renewal 2022-2023 Online

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* E-mail

* First Name

* Last Name

Please provide the mailing address you would like us to use for all physically mailed shul communications. If you change your mailing address during the year, please help us update our records by emailing JAshley@anschechesed.org or calling 212-865-0600 x202.

* Mailing Address

* City

* State

* Zip Code

If you live outside of the US, please write your address below and write NA and mark any State in the Address boxes above

After two years, we are returning to assigned seats for the High Holidays. Services are planned to be at full capacity and masked, subject to change as conditions require.

This is the online membership renewal and payment form. If you wish to pay by check, please either fill out the online check renewal form, or print, complete and mail to Ansche Chesed the paper membership renewal form with payment. If you have any questions regarding these forms, please email Josh Ashley at jashley@anschechesed.org.

Ansche Chesed offers several membership options:

Individual Membership, for single adults without children
Family Membership, for married or partnered couples living together with or without children, and for single adults with children. Children must be up to age 25. Children age 26 or older will need a separate membership.
Full-Time Student Membership (NOTE: This membership does NOT include High Holiday Tickets).
Outof-Town Membership, for anyone living outside the New York metropolitan area. (NOTE: This membership does NOT include High Holiday tickets.)

* Adults in Membership

Please write the names of the adults in the membership

Children in Membership

Please write the names of the children and their ages in the membership

* Membership Dues

Alternate Dues Amount

If you would like to pay an amount other than your fair share dues, please mark one of the two "Other Amount" options in the Membership Dues Field above, and indicate in this field what your dues pledge will be this year. If you select "Other Amount if paying more than $1000," the $180 security fee will be automatically charged to your account. If paying less than $700 for an individual or $770 for a family membership, please contact Josh Hanft or Rabbi Jeremy Kalmanofsky to discuss privately.

Which Minyan Service Will You Be Joining For In-Person High Holiday Services?

How Many In-Person Seats Are You Requesting?

Select the number of high holiday seats requested. Individuals are entitled to one ticket. Families are entitled to one ticket for each adult (up to two) and one ticket for each dependent child between the ages of 6-25. Children under 6 do not require a ticket. Additional tickets for extended family members and adult children are available for $175 each.

Additional In-Person Sanctuary High Holiday Seats

How many additional in-person High Holiday Sanctuary Service tickets requested ($175 each)?

Additional In-Person Minyan Ma'at High Holiday Seats

How many additional in-person High Holiday Minyan Ma'at Service tickets requested ($175 each)?

High Holiday In-Person Seat Assignment

High Holiday In-Person Seat AssignmentPlease check off that I/we would like the same in-person assigned seat(s) as in 2019 and understand that, to be honored, this request must be received by August 1, 2022.

I would like to make an additional contribution towards...

Amount

Mandatory Ansche Chesed Security Fee Charge

*For all membership dues pledges $1000 and higher, a mandatory additional $180 security fee will be added to the total pledge.

Additional Notes

Please include any additional information you want us to know about your membership.

Total Membership Dues + Security Fee + Additional Seats + Donation

Sat, October 1 2022 6 Tishrei 5783