online reservations

First Name |
Last Name |
Address |
City |
Province |
Postal Code |
Phone |
Email |

Number of Adults (Suggested Donation $72) |
Number of Children (Suggested Donation $54 per child) |
|
Adult Name 1 |
Child Name 1 |
|
Adult Name 2 |
Child Name 2 |
|
Adult Name 3 |
Child Name 3 |
|
Adult Name 4 |
Child Name 4 |
|
Adult Name 5 |
Child Name 5 |
|
Adult Name 6 |
Child Name 6 |
|
Your donation covers all Rosh Hashanah and Yom Kippur Services and is tax-deductible |
High Holiday Services I plan to attend Please check all that apply. |
||
Rosh Hashanah Day 1 | September 10 | ||
Rosh Hashanah Day 2 | September 11 | ||
Yom Kippur | September 18-19 | ||

I/We would also like to attend the Rosh Hashanah Community Dinner/s: Please check all that apply. Add an additional $36 per person, per meal. |

Help Chabad bring more light to the community by sponsoring a Machzor, Dinner or Program. |
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$ |

Card Number |
Expiration |
CVV Code |
Total Amount to Charge Card |