Membership Financial Adjustment Request Form

Member Information

Name:

Email:

Phone:

Membership Dues Structure

Age categories are based on eldest member in a household
Individual membership includes one adult High Holy Day ticket
Family membership includes two adult High Holy Day tickets
Basic membership does not include High Holy Day tickets

Individual Membership

Blum 36+: $1,360Malkov 36+: $1,360Sanctuary All Ages: $1,675Balcony All Ages: $1,485

Family Membership

Blum Under 31+: $875Blum 31-35: $1,570Blum 36+: $2,875Malkov Under 31: $875Malkov 31-35: $1,570Malkov 36+: $2,875Balcony All Ages: $2,600Sanctuary All Ages: $2,875

Basic Membership

Individual All Ages: $1,035Family All Ages: $1,675

Requested Adjustment

After reviewing the membership dues, please indicate an amount that is both meaningful and comfortable to your budget.

Membership Dues:

A $175 Security Fee will be added to Membership Dues unless other arrangements are made.

We will call you to finalize your adjusted dues and set up a payment plan.

For membership questions, contact Amy karp at 773-868-5139 or akarp@ansheemet.org