High Holiday Reservation Form For places at services and communal meals ___________________________________________________________________________________ Services which I/we will be attending (free of charge): Adults 1 2 3 4 5 6 7 8 9 10 Children: 1 2 3 4 5 6 7 8 9 10 0 Please check one or more Rosh Hashana Yom Kippur Rosh Hashana Eve Yom Kippur Eve (Kol Nidrei) Rosh Hashana 1st Day Yom Kippur Day Yizkor Rosh Hashana 2nd Night Neila Closing Services Rosh Hashana 2nd Day Communal Meals which I/we will be attending: Adults: 1 2 3 4 5 6 7 8 9 10 Children: 1 2 3 4 5 6 7 8 9 10 0 Please check one or more Rosh Hashana Sukkot Simchat Torah First Night Communal Dinner 1st Eve Make your own Poke Bowl in the Sukkah Night Celebration Second Night Communal Dinner 2nd Eve Steak and Scotch in the Sukkah Day Celebration Suggested Donation amounts $180 Family Name: $100 Couple Address: $54 Single City: State: Zip: $36 Student Home phone number: $18 per Person Office phone number: for communal meals only E-mail: $ Gift Please add me to the Chabad of Mt. Olympus mailing list All contributions are tax-deductable. Payment Method Please charge my credit card Visa Master Card Amex American Express Diner's Club Discover Card number: Exp: Name on card: I'm sending a check a check for the amount of: $ Please make checks payable to: Chabad of Mt. Olympus/Laurel Canyon 8124 Laurelmont Dr. L.A., CA 90046 This page uses 128 bit SSL encryption to keep your data secure.