Membership and Seating 5778

First Name

Last Name

Address

City

State

Zip

Home Phone

Mobile Phone

I/We wish to renew our commitment to Yavneh Family Services as follows:

Please Call if you require any assistance completeing this form: 323.931.5808

Select Membership Type

Family Annual Membership (Over 35 Includes 2 Holiday Seats) - $1550Family Annual Membership (Under 35 Includes 2 Holiday Seats) - $750Individual Annual Membership (Over 35 Includes 1 Holiday Seat) - $1250Individual Annual Membership (Under 35 Includes 1 Holiday Seat) - $600College Student (Includes 1 Holiday Seat) - $250Associate Membership (No Holiday Seats) - $800

SEATING

How many of the seats included in your membership will you need?

Do you need additional seats?

Additional Seats

$75 PER SEATING EVENT

All Events (RH & YK)

RH Day 1

RH Day 2

Kol Nidre

YK Day

Ne'ilah

	* Name	Location	When	Requests	Notes

**Women's Downstairs seating is limited. We will do our best to accommodate.

Additional Information and Requests

Eruv

I wish to support the LA Eruv ($54)I do not wish to pay the Eruv Fee (of $54) through Yavneh

Tue, April 22 2025 24 Nisan 5785

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