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Chaverim Membership Form
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Include a submember in your membership registration

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PLEASE NOTE: ApplePay will not work for recurring monthly or annual membership terms. Although ApplePay was enabled globally in our system, we do not recommend that you use it for membership, only event registrations and campaign donations. Please select Pay With Card instead.

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{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}
Choose Existing Contact(s)
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Add {{subMemberDisplayName}}
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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
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{{orderSummary.membershipOrderItem.userName}}
{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
{{orderSummary.membershipOrderItem!=null?smIndex+2:smIndex+1}}
{{sm.userName}} ({{subMemberDisplayName}})
{{sm.cost==0?'Free':formatAmount(sm.cost)}} {{sm.termName}}
{{sm.startDate}} - {{sm.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}
Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}
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{{formatAmount(orderSummary.donationAmount)}}
Frequency selected: {{recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

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 Code:
-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}
Discounts -{{formatAmount(orderSummary.discounts)}}
Total {{formatAmount(orderSummary.total)}}
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Card
ACH
Pay Later
or enter your card details below
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Please mail your payment to:
1025 Gateway Blvd.
#303-318
Boynton Beach, FL 33426
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{{formatAmount(totalAmount)}} USD
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