Personal Information Select One* Mr.Mrs.Ms. Full Name* First Name Last Name E-mail* I would like to receive news and updates by email Phone Number* Area Code Phone Number Spouse's Full Name First Name Last Name 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 Are you a current member?* YesNo If yes, which membership did you purchase?* 2026 Family: Includes: 2 seats plus dependent children2026 Single Parent: Includes: 1 seat plus dependent children2026 Senior Family: Includes: 2 seats2026 Senior Single: Includes: 1 seat2026 New Family (1st year only) Includes: 2 seats plus dependent children2026 New Single (1st year only): Includes: 1 seat2026 First Year Marriage: Includes: 2 seats Seats for Members Membership includes seats for paid members and their eligible dependents. I would like to attend* Regular ServicesEducational Services (shorter service, with Rabbi Yossi) Number of Seats for Men* FREE Number of Seats for Ladies* FREE Notes regarding seats Children's Program Number of Kids* FREE Ages of kids: Seats for Non-Members Seats @ $180/$99 (depending on service chosen) each for non-members and relatives of members that are not included in membership. High school students: free in the educational service. I would like to attend* Regular Services $180Educational Services $99 Regular Services See full schedule HERE Number of Seats in Regular Services for Men* $180 per seat Number of Seats in Regular Services for Ladies* $180 per seat Notes regarding seats Educational Services Rosh Hashanah & Yom Kippur mornings: 10:30am-12:00pm Yom Kippur evenings: 6:50-7:50 pm Number of Seats in Educational Services for Men* $99 per seat Number of Seats in Educational Services for Ladies* $99 per seat Number of Seats in Educational Services for High School Students in Men's Section* FREE Number of Seats in Educational Services for High School Students in Ladies Section* FREE Notes regarding seats Children's Program Rosh Hashanah & Yom Kippur mornings: 10:30am-12:30pm Yom Kippur evenings: 6:50-7:50 pm Number of Kids* FREE Ages Additional Donation: I would like to make an additional donation of: $770 Yahrtzeit Memorial Board - non members$613 Yahrtzeit Memorial Board - member discount$500 Eitz Chaim Tree Big Leaf$300 Eitz Chaim Tree Small Leaf$180$90$54$36$18 Is this a recurrent donation? Yes - for 12 monthsYes - until further notice Special reason for donation: Payment Total $0.00 CAD I already paid for membership and I am only reserving FREE seats (included with membership)* YesNo Payment* Credit Card We accept Visa, MasterCard, American Express Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration Year All payments will receive a full tax receipt*We maintain Chabad’s policy to ensure your welcome regardless of payment Complete Service Schedule HERE Submit Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
