Chavurah Membership
(no additional fees for High Holiday services)

Rates for 2009/2010

Immediate Family..................... $540

(Includes Husband, Wife, Children, Grandchildren, and Parents)

Husband & Wife........................ $380

Single...................................... $190

Contact Name ____________________

Address___________________

Phone Number _______________

E-Mail address____________________

Make check payable and mail to:
Chavurat Emet
PO Box 461
Smithtown, New York 11787