New Membership OptionChabad House of Hewlett is a Non-Profit Community Organization that serves the entire Jewish community of Greater Hewlett with love and affection. We look to care for any and every Jew regardless of background, affiliation, age or level of observance.In addition to many social and community events, our Chabad house is offering the full-range of support and resources to the community that you have come to expect from a synagogue. Many people, who have already joined our services and programs, still ask, "Can I become a ‘member’ ? Can I ‘officially’ join so that my kids have a place they can refer to as ‘ my temple ’? Can I be ‘affiliated’ so that I can continue the feeling of belonging that my parents and their parents felt as ‘temple members’ for so many years?" Now, we are happy to say, the answer is, YES! By filling out this form, you will officially become a member of Chabad of Hewlett Jewish Center.ADULT HEAD OF HOUSEHOLDFull Name*PrefixFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew nameBirth Date*MonthDayYear E-mail*I am...*Jewish From BirthConvertedNot JewishFamilyCohenLeviYisroelCell Number*Area CodePhone NumberWork NumberArea CodePhone NumberHome NumberArea CodePhone NumberADULT HEAD OF HOUSEHOLDFull NamePrefixFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew nameBirth DateMonthDayYear E-mailI am...Jewish From BirthConvertedNot JewishFamilyCohenLeviYisroelCell NumberArea CodePhone NumberWork NumberArea CodePhone NumberHome NumberArea CodePhone NumberPERSONAL INFORMATIONAddress*Street AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe 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IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryMarital StatusSingleMarriedDivorcedWidowedWedding DateMonthDayYear CHILDRENFirst Child's Full NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew nameBirth DateMonthDayYear Second Child's Full NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameBirth DateMonthDayYear Third Child's Full NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameBirth DateMonthDayYear Fourth Child's Full NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameBirth DateMonthDayYear YAHRZEITSFull NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameDate of DeathMonthDayYear Time of Death was during the...day or nightObserverTo whom is the Deceased related?Deceased's relationship to ObserverFull NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameDate of DeathMonthDayYear Time of Death was during the...day or nightObserverTo whom is the Deceased related?Deceased's relationship to ObserverFull NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameDate of DeathMonthDayYear Time of Death was during the...day or nightObserverTo whom is the Deceased related?Deceased's relationship to ObserverFull NameFirst NameLast NameHebrew NameFirst Nameben/batFather's Hebrew NameDate of DeathMonthDayYear Time of Death was during the...day or nightObserverTo whom is the Deceased related?Deceased's relationship to ObserverOptional DonationChabad of Hewlett does not require dues for membership.Please consider making a donation to Chabad of Hewlett in honor of becoming a member.Please keep in mind that the average cost for membership in the Greater Hewlett area is $1500.Make it a monthly Partnership and your name will appear on our Donor board.Thank you for your continued support!Membership Donation Options$5000$3600$2500$1800$540$360$180$120$108$75$54$36Yes, I'd like to make this a monthly recurring payment.PaymentCredit Card Cash or Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearTotal$0.00Yes, I'd like to donate the cost of processing this transaction by adding 3%I would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.