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Misc. High Holiday Services

High Holiday Services Reservation form

Full Name*
First Name Last Name
E-mail*
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Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Number of participants - Men Adults
Number of Participants - Women Adults
Number of Participants - Children Under Bar/Bat Mitzvah
Which services - RH Rosh Hashana

Rosh Hashana evening 1Rosh Hashana evening 2Rosh Hashana morning day 1Rosh Hashana morning day 2
Which services - YK Yom Kippur

Kol Nidrei EveningYom Kippur morningYom Kippur MinchaYom Kippur Neila and break the fast
Suggested donation $180 per adult. $54 per child. $360 co-sponsor

$360$180
Sponsorship opportunities In addition to suggested donation

I would like to add my loved one's name to the memorial board ($770 HH special).I would like to sponsor the Yom Kippur break the fast ($600) - reservedI would like to help with the cost of the outdoor TENT RENTAL ($540)I would like to co-sponsor the Rosh Hashana light Kiddush after services ($180)I would like to join the Chai-Club by donating monthly to Chabad
Additional contribution We are committed to providing services to the community, and that don't require membership. Your donation will help us continue to do so

$10000$5400$3600$1800$1000$770$500$360$180$100
Yes, I'd like to make this a monthly recurring payment.
Total

$360.00

Payment

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Notes:
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