Printed from ChabadSA.com

Seat Reservations

Seat Reservations

High Holiday Attendance Form
Rosh Hashanah: October 12th–13th | Yom Kippur: October 12th


All memberships include High Holiday seats. Family memberships include all minor children up to the age of 18,
or children who have full-time student status.

IMPORTANT: Please list all the names of participants that are included with your family membership.
It is of critical importance that you list everyone who will be attending with you so we can ensure that there are enough seats for your family in the synagogue.

*NON MEMBERS: All are welcome regardless of financial ability.

CONTACT INFORMATION
First Name   Last Name
Email   Phone
Address   City, State, Zip
City State Zip
         
RESERVATION INFORMATION
Adult Members - Free:      
How Many? Names
Adult Relatives of Members (that are not included with your family membership): $175 each*
How Many? Names
Adult Non-Members: $200 each*
How Many? Names
Child Members - Free:
(In order to offer adequate care for your children, we must have you complete this section.)
How Many? Names & Ages
Child Non-Members: $50 each*    
How Many? Names & Ages

MACHZOR PRAYER BOOK SPONSORSHIP
1 for $30 4 for $100 In honor of In memory of
 
ALIYAH TO THE TORAH - $750 EACH
Hebrew Name Father's Hebrew
Name
In honor of In memory of

PAYMENT INFORMATION
Total amount to charge my card:   Exp. Date
Card Type   Card Code
Card Number   Comments

Secure This page uses 128 bit SSL encryption to keep your data secure.