Kehilla Ateres Yaakov

Yomim Noraim Information

MEMBERSHIP DUES: The membership dues are utilized to cover all of the Kehilla expenses, operations and programs. It is appropriate for anyone that davens with us on a regular basis to join kehilla Ateres Yaakov and become a member.

LOCKERS: The Kehilla has beautiful mahogany lockers available for rent to securely hold your tallis and sedurim. You may rent a locker or renew your locker rental on this form.

YARTZEIT PLAQUES: Dedicate a Yartzeit Plaque to remember a loved one or dear friend. The plaques are displayed in our atrium and the yartzeit will be observed and mentioned at every yizkor in perpetuity.

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

All submissions must be completed by:

Wednesday, September 17, 2025 (10:00 AM).

Membership Level	Fee	Seats Included	Add'l Adult Seats	Add'l kid's seat (18 & Under)
Family Membership	$850	3	$75	$50
Individual Membership	$550	1	$75	$50
Non-Member Seats			$150	$100
Alumni Seats	$25 discount
Current Students	Free
Lockers	100
Yartzeit Plaques	360

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*

FamilyMembership (3 seats included) - $850Individual Membership (1 seat 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

Locker - $100Yartzeit Plaque - $360
Yartzeit Plaque Information (Hebrew Name, English Name, Hebrew Date of Petira - with year)
Kol Nidrei Appeal Amount*
Total Cost
Total$
Number
Payment
I am, or will have at least one alumnus of MAY purchasing seats.

Yes
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)

Should be Empty: