Leadership Circle: Chazak ($25,000): Chazak level leadership includes six (6) High Holiday seats, admission for two (2) to the VIP Chanukah reception, a Yahrzeit memorial plaque, a personal locker next to the main sanctuary*, and access for two (2) to an exclusive annual Chazak eventChai ($18,000): Chai level leadership includes six (6) High Holiday seats, admission for two (2) to the VIP Chanukah reception, a Yahrzeit memorial plaque, and a personal locker next to the main sanctuaryBrachah ($12,000): Brachah level leadership includes four (4) High Holiday seats, admission for two (2) to the VIP Chanukah reception, a Yahrzeit memorial plaque, and a personal locker next to the main sanctuaryKeter ($10,000): Keter level leadership includes four (4) High Holiday seats, a Yahrzeit memorial plaque, and a personal locker next to the main sanctuaryChessed ( $5400): Chessed level leadership includes four (4) High Holiday seats, and a personal locker next to the main sanctuaryKehillah ($3600): Kehillah level leadership includes four (4) High Holiday seats *Lockers will be made available in the new location Annual Membership: $1,200 Single membership: Includes one seat for High Holidays$1,800 Family membership: Includes two (2) seats for High Holidays Chaverim Circle: $18/month$36/month$54/month$72/month Partnership Options: .75 Share $1,200 - Friendship Partnership - includes 2 Adult High Holiday Seats1 Share $1,800 - One Is Hashem Partnership - includes 2 Adult High Holiday Seats2 Shares $3,600 - Tablet Partnership - includes 4 Adult High Holiday Seats3 Shares $5,400 - Patriarchs Partnership - includes 4 Adult High Holiday Seats4 Shares $7,200 - Matriarchs Partnership - includes 4 Adult High Holiday Seats5 Shares $9,000 - Torah Partnership - includes 4 Adult High Holiday Seats6 Shares $10,800 - Mishna Partnership - includes 4 Adult High Holiday Seats and a Yahrtzeit memorial plaque7 Shares $12,600 - Universe Partnership - includes 4 Adult High Holiday Seats and a Yahrtzeit memorial plaque10 Shares $18,000 - Commandments Partnership - includes 4 Adult High Holiday Seats and a Yahrtzeit memorial plaque MEMBER INFO Full Name* First Name Last Name E-mail* I would like to receive news and updates from Chabad of East Boca Raton by email. I understand that information I provide to Chabad of East Boca Raton will be used according to its Privacy Policy and I can unsubscribe at any time. Hebrew Name Father's Hebrew Name Mother's Hebrew Name Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Born AMPM Family CohenLeviYisroelConvert Cell Number* Area Code Phone Number Home Number Area Code Phone Number SPOUSE (IF APPLICABLE) Full Name First Name Last Name Hebrew Name Father's Hebrew Name Mother's Hebrew Name Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Born AMPM E-mail PERSONAL INFORMATION Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall 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 SaharaYemenZambiaZimbabweOther Country Marital Status SingleMarriedDivorcedWidowed Anniversary Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year CHILDREN (IF APPLICABLE) CHILD 1. Full Name First Name Last Name Please check MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Born DayEvening Child 2. Full Name First Name Last Name Please check MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Born DayEvening Child 3. Full Name First Name Last Name Please check MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Born DayEvening Yahrtzeit Information & Memorial Plaques For each entry, please include full English and Hebrew name, family name and relationship. Please check the Yahrzeit. Memorial Plaque check box to reserve a memorial plaque on our beautiful Memorial Board. $1800 Per Plaque. (Monthly Payment Plans Available) I would like to include the following number of Yartzeits: YAHRTZEIT 1. Full Name First Name Last Name Hebrew Name Relationship Date of passing 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Time of Day AMPM Yahrzeit Memorial Plaque $1800.00$0 YAHRTZEIT 2. Full Name First Name Last Name Hebrew Name Relationship Date of passing 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Time of Day AMPM Yahrzeit Memorial Plaque $1800.00$0 YAHRTZEIT 3. Full Name First Name Last Name Hebrew Name Relationship Date of passing 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Time of Day AMPM Yahrzeit Memorial Plaque $1800.00$0 ANNUAL FEES $180 Security fee$180 Eiruv Fee$180 Locker Fee Seat 1. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur Seat 2. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur Seat 3. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur Seat 4. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur Seat 5. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur Seat 6. First Name Last Name Gender MaleFemale High Holiday Seats Rosh HashanahYom Kippur PAYMENT OPTIONS Please divide my payment to charge card every month: $ Please charge my membership in full at this time: $ Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment* Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPlease mail to:Boca Beach Chabad120 N.E. 1st Ave.Boca Raton, FL 33432 Boca Beach Chabad Legacy Society Yes! I am including Boca Beach Chabad in my will. All Legacy Society Members will be recognized on our Legacy Society Donor Wall.Yes! Please have a planned giving professional contact me. Click here to reserve your High Holidays seats. Please select the Partner option from the drop menu. Submit Should be Empty: This page uses TLS encryption to keep your data secure.