online reservations First Name Last Name Address City Province Postal Code Phone Email Number of Adults (Suggested Donation $72) 1 2 3 4 5 6 Number of Children (Suggested Donation $54 per child) 0 1 2 3 4 5 6 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 Morning Service Rosh Hashanah Day 2 | September 11 Morning Service Yom Kippur | September 18-19 Kol Nidrei Service Morning Service Neilah Closing Service 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. 1st Night of Rosh Hashanah (September 9) at 7:30pm 2nd Night of Rosh Hashanah (September 10) at 7:30pm Help Chabad bring more light to the community by sponsoring a Machzor, Dinner or Program. Please Choose $26 - Sponsor a Rosh Hashanah Dinner for a needy person $36 - Aliyah $54 - Dedicate a Prayer Book (Dedication will be inserted) $72 Sponsor a Rosh Hashanah Seat for a needy person $180 - Kiddush Sponsor $250 - Send Food Package to a Needy Family in NDG $1800 - High Holiday Partner Other $ Card Number Expiration Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVV Code Total Amount to Charge Card