| First Name |
Last Name |
| Address |
City |
| State |
Zip Code |
| Phone |
Email |
| Amount Adult Attendees |
Amount of Children Attendees |
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| Adult Name 1 |
Child Name 1 |
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| Adult Name 2 |
Child Name 2 |
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| Adult Name 3 |
Child Name 3 |
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| Adult Name 4 |
Child Name 4 |
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| Adult Name 5 |
Child Name 5 |
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| Adult Name 6 |
Child Name 6 |
| High Holiday Services I plan to attend Please check all that apply. If you have children that will be attending the Children's service or in need of baby sitter's service check below |
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| Rosh Hashanah Eve | September 9 | ||
| Rosh Hashanah Day 1 | September 10 | ||
| Rosh Hashanah Day 2 | September 11 | ||
| Yom Kippur | September 18 - 19 | ||
|
Join us for Festive Holiday Dinners on Rosh Hashanah, Sunday, September 9 and Monday, September 10. Enjoy a sweet start to the New Year with apples and honey, round Challot & a three course catered meal. |
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| I understand that all High Holiday services are free of charge. However, I would like to donate to the Chabad Jewish Center in honor of Rosh Hashanah and Yom Kippur: | |
| Card Number |
Expiration |
| CVV Code |
Total Amount to Charge Card |