To view the Full Membership Brochure: Click here YES! Count me in. $600 Single $50 Monthly $1200 Family $100 Monthly I'D LIKE TO JOIN THE CHAI SOCIETY! $1800 $150 Monthly Silver Crown $3600 $300 Monthly Jerusalem of Gold $5400 $450 Monthly Platinum $10,000 $833 Monthly Sapphire Tablets $12,000 $1000 Monthly President's Circle $18,000 $1500 Monthly King David's Circle Personal Information: First Name: Last Name: Address: City, State, Zip Phone: Email Address: Payment Method: Card Type: Visa Master Card American Express Discover Diners Club Credit Card Number: Name on Card: MONTH January February March April May June July August September October November December YEAR 2009 2010 2011 2012 2013 2014 YEAR 2015 YEAR 2016 2017 2018 2019 2020 Total Amount to be charged Today: This page uses 128 bit SSL encryption to keep your data secure.