Kehilla Ateres Yaakov

Yomim Noraim Information
PLEASE NOTE: All inquiries (financial or seating) must come through the business office. Email andrea.o@ateresyaakov.com.

In case of financial need, special financial arrangements can be made in confidence with Rabbi Lasker at y.lasker@ateresyaakov.com.

Kesiva v’chasima tova.
You can still fill out this form,

even if paying by check.

MEMBERSHIP DUES: The membership dues are utilized to cover all of the Kehilla expenses, operations and programs.

KOL NIDREI APPEAL: We ask that a contribution to the Kol Nidrei Appeal be made at this time. The funds from this appeal are utilized to support all divisions of Ateres Yaakov, including the Mesivta and Kehillah. There will be a poster in the lobby thanking all participants in the appeal.

YOUTH GROUPS: The Kehilla offers a comprehensive youth program which is included in the membership fees.

KIDDUSH SPONSORSHIPS: The weekly kiddush is a wonderful way to strengthen the achdus amongst our members. A group of dedicated members have worked tirelessly to upgrade the Kiddush menu which is supported through sponsorships and donations.

All reservations, payments and financial arrangements MUST be completed by Sunday, September 18, 2022.

Membership Level	Fee	Seats Included	Add'l Adult Seats	Add'l kid's seat (18 & Under)
Full Membership	$850	3	$75	$50
Assoc. Membership	$550	2	$100	$75
Non-Member Seats			$150	$100
Alumni Seats	$25 discount
Current Students	Free
Kiddush	$400+

You will have the opportunity to pay for any or all of these in this form. If you would like to pay separately, or at another time, you can opt to do that.

Yomim Noraim Seating
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Phone Number*

Area CodePhone Number
Email*
example@example.com

Membership

It is appropriate for anyone who davens with us on a regular basis to become a full member. Associate memberships are available for those who only daven with us occasionally.
Membership Levels*

Full Membership (3 seats included) - $850Associate Membership (2 seats included_ - $550Non-Member Pay Per Seat
Seats Included
Seats Included
Men's Seats (Please click drop-down box to select the number of seats.)

Additional Seats Needed

	Adults	Kids (18 & under)	Current MAY Student
How Many Seats
Additonal Cost

Total Additional Cost
Total Seats

How do you need your Rosh Hashanah seats?*

	Men	Women
Adults
Kids

Total Seats Needed - Error, Please Fix to Continue (Rosh Hashanah)
You need to either purchase more additional seats or remove some of your requested seats.
Do you need the same seats for Yom Kippur as Rosh Hashanah?*

YesNo

Total Seats Needed - Error, Please Fix to Continue (Yom Kippur)
You need to either purchase more additional seats or remove some of your requested seats.
Total Seat/Membership Cost

Seat Request
Only members can request a specific seat or table. If you would like to become a member, please go back to the previous page. Otherwise, hit next.
Which seats would you prefer to sit in?

Men Women

Adults
Comments:
We will try and take your request into account. We are not guaranteeing any requested seats.

Add-Ons
Add-On Options

Kol Nidrei AppealYartzeit Plaque - $360
Kol Nidrei Appeal Amount*
Total Cost
Total$
Number
Payment
Please enter a coupon code at payment, for alumni seating discount.

Alum1 (for 1 Alumnus)

Alum2 (for 2 Alumni)

Alum3 (for 3 Alumni)
I would like to drop a check in the Yeshiva office (my seat reservation will not be confirmed until the check is received)

How would you like to pay?

One Time Payment (USD one-time payment)

Pay the full amount for membership and seats today

Pay Over 3 Months (USD for each month)

Split your membership and seats over 3 payments

Pay Over 6 Months (USD for each month)

Split your membership and seats over 6 payments

Pay Over 12 Months (USD for each month)

Split your membership and seats over 12 payments

Enter coupon

Credit Card

Should be Empty: