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Holiday Events High Holidays Info & Schedule

High Holidays Reservation Form

High Holiday Places and Communal Holiday Dinners
1. Your Information
Full Name*

First Name Last Name

Address

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

Phone Number*

Area Code Phone Number
E-mail*
Any comments / seating preferences
Services which I/we will be attending
Rosh Hashanah/Yom Kippur Services Attendance

First Night First day Second Night Second Day Yom Kippur Eve Kol Nidrei Yom Kippur Morning/Yizkor Neila Closing Services
Communal Holiday Dinners

First night Second Night
3. Optional Donation
Optional Donation other amount

$180 $360 $540 $1000 $1800

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Total

$0.00
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