Or Torah Membership

If you would like assistance completing the application form, or would prefer a physical copy, please contact the shul office.

We encourage you to pay your membership dues via ACH/eCheck (an option in the payment section of the form), however if you plan to pay your dues by personal check or a check from your DAF, please contact the shul office.

If you want to add additional seats for Yamim Noraim and have already filled out your membership form, please contact the shul office.

The shul office can be contacted at 847-679-3645 or office@ortorah.org.

Congregation Or Torah 5785 Membership Form

Welcome to Or Torah's Membership Drive! Please select an option from the dropdown below:

First Name

Last Name

Street

City

State

Zip

* Home Phone

* Cell Phone

Primary Adult

Last Name

First Name

Middle Name

Secondary Adult

Last Name

First Name

Middle Name

Residence

Street

City

State

Zip

Alternate Residence

Street

City

State

Zip

Email (male):

Email (Female):

Date Arrived in the Community

Marital Status

Wedding Anniversary

Is there any conversion in the family?

YesNo

If yes, please provide supporting documentation from the Rabbinical Court that supervised the conversion. Thank you

MALE Date of Birth

FEMALE Date of Birth

Occupation (Male)

Occupation (Female)

Business Name (Male)

Business Name (Female)

Cell Phone # (Male)

Cell Phone # (Female)

Emergency Contact (Male)

Emergency Contact (Female)

Hebrew Name (Male)

Hebrew Name (Female)

Tribe (Male)

CohenLeviIsraelite

Tribe (Female)

CohenLeviIsraelite

Maiden Name (Female)

Father's Hebrew Name (Male)

Father's Hebrew Name (Female)

Mother's Hebrew Name (Male)

Mother's Hebrew Name (Female)

Previous/Other Current Congregation (Male)

Previous/Other Current Congregation (Female)

CHILDREN

Click to add children

First Name

Sex

Birthday

Blood Type

School

Grade

Living at home?

NoYes

Hebrew Name

transliterated, e.g. “Dinah Daughter of Zalman & Miriam”

YAHRZEIT INFORMATION

Click to add yahrzeit

Name of deceased

Hebrew Name

transliterated, e.g. “Shmuel son of Avi and Dinah”

Related to whom?

Relationship

Date of death. Place an H for Hebrew or an E for English

Died before sundown? Yes/No

Select your Membership Type

Membership Rates:

Family Membership: $1,975, includes two High Holiday seats. For existing members, if you elect to pay your entire balance by July 31, 2024, your membership will be $1,875 for the year.
New Family Membership: $1,000 for the first year, includes two High Holiday seats.
Young Family Membership (youngest spouse is under 30): $1,000, includes two High Holiday seats.
Individual Membership: $1,000, includes one High Holiday seat. If you elect to pay your entire balance by July 31, 2024, your membership will be $950 for the year.
Associate Membership: $850 for families, $450 for an individual or young families (youngest spouse is under 30). Associate Membership is for families who are full members at other shuls in the Chicagoland area. Please note: this tier does not include High Holiday seats.

Select your two included seats (Family Membership, New Family Membership, Young Family Membership)

Select your one included seat (Individual Membership)

Number of seats requested for children? ($75/child)

Please be aware youth groups are from 6 months - 5th grade.

*Please note that children of members includes those who are still in school, live with their parents, or who are otherwise still fully dependent on the member parents. Requests for guest seats must be paid in full in order to be assigned.

Number of guest seats for Rosh Hashanah ($200/seat)

Number of guest seats for Yom Kippur ($100/seat)

	* Name	Location	When	Notes

SECURITY FEE

Security Fee

$150 (recommended)I would like to contribute a different amount

Please enter the amount you would like to donate to the Or Torah Security Fund:

BUILDING FUND

How much would you like to contribute towards your Building Fund obligation?

The building fund obligation is a one-time obligation, of $3,500, payable over 5 years at a suggested $700/year beginning with the member's 4^th year as a member. Participation in and payment of the building fund is required in order to be considered a member in good standing.

YOUTH INFO

Will you need to sign up your children for youth groups for the high holidays?

Please be aware youth groups are for children ages 6 months to 5th grade!

Where will the Mother/Guardian be davening?

Early MinyanMain MinyanOr Torah West

Where will the Father/Guardian be davening?

Early MinyanMain MinyanOr Torah West

Rosh Hashanah: How many children will be attending Youth Groups?

Youth Groups Cost $10 per day on the High Holidays, for Rosh Hashanah the cost of groups is $20 per child.

Yom Kippur: How many children will be attending Youth Groups?

Youth Groups Cost $10 per day on the High Holidays, for Rosh Hashanah the cost of groups is $20 per child. For Yom Kippur, the cost of groups is $10 per child.

Rosh Hashana/Yom Kippur: Please list the name and grade each child will be entering as of September 2024

Do any of the children attending groups on Rosh Hashana or Yom Kippur have allergies? If yes, please list them below.

Please list any comments or details about your child(ren) that you feel would be helpful to us in making their experience enjoyable.

PAYMENTS ON THE NEXT PAGE AFTER YOU HIT "SUBMIT" BELOW

Please note that you do not have to obtain approval from a member of the finance committee to pay half of your membership dues now and half in December.

Options:
1. Credit Card or ACH/eCheck: To pay in full today please select "Credit Card" or "ACH/eCheck" next to payment method and click "Confirm and Continue".

2. To pay in installments, please follow these instructions:
a. Next to the box titled "Pay this Amount", click the arrow to the right of the dropdown menu and select how many installments you'd like to split your total payment into (up to 10).
b. Next to the box titled 'Paid', select the frequency of this payment. Please note:

payments start today, from the date the form is submitted.
the total payment has to be paid within 12 months

c. Next, select your payment method.
d. Next, select whether you'll be including the convenience fee, or opting out of the fee (for ACH/eCheck only - which is 1%. The 3% convenience fee is now automatically included with all credit card payments). If you pay by debit card, no fee applies. Please note that including the fee helps us offset processing costs of your payment. This fee is 100% Tax Deductible.
e. Click "Confirm and Continue"

NOTE: The payment method you use to make your first payment will be re-charged according to the frequency you chose in option b. from the day you make your first payment.

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Congregation Or Torah 5785 Membership Form

CHILDREN

YAHRZEIT INFORMATION

SECURITY FEE

BUILDING FUND

YOUTH INFO

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