CONTACT INFO
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CHABAD HIGH HOLIDAY SEAT FORM 
Please reserve High Holiday seats for the following person(s):
   
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
First & Last Name
Male Female
Attending:  Rosh Hashana Yom Kippur
Please indicate number of men / women attending Sefardic Minyan: Men: Women:
SHUL SPONSORS RESERVATIONS
(Shul Sponsors contribute $250 + per quarter for the Shul upkeep. Sponsorship includes 2 High Holiday reserved seats. For more info on the Shul Sponsorhips, please click here)
As members in the Shul Sponsors Club, please include 2 High Holiday seats
For additional seats, a discounted contribution of $125 per seat, totaling   is enclosed

NON SHUL SPONSOR RESERVATIONS

(Non Shul Sponsors contribute $175 ( $150 + $25 security cover) per High Holiday reserved seat.

 As a non member in the Shul Sponsors Club, our Contribution of  $175  ($150 +$25 Security cover) per seat is enclosed. 

JUNIOR CONGREGATION 

At Chabad we are preparing to make this Yom Tov a most enjoyable and meaningful experience for both adults and children. 

We are again offering a Junior Congregation from 10:30 AM - 12:30 PM. 

In order to run our children’s programs in an orderly fashion, please fill the form below with the names and ages of each child who will be participating. 

Suggested donation for the Children’s program is $18 per child 

If you are able to help by sponsoring these programs with a $100 contribution, we would greatly appreciate it. 

Wishing you and your family a healthy and happy New Year.

HIGH HOLIDAY JUNIOR CONGREGATION REGISTRATION FORM
Names of Children Attending Age Days Attending

Rosh Hashana  Yom Kippur

Rosh Hashana  Yom Kippur

Rosh Hashana  Yom Kippur

Rosh Hashana  Yom Kippur

Rosh Hashana  Yom Kippur

Donation of $ enclosed.
Sponsorship ($100) enclosed
YIZKOR BOOK OF REMEMBERANCE & YARTZEIT MEMORIAL PLAQUE INFO 

This Yizkor booklet is held in prayer on Yom Kippur, Shmini Atzeret, Pesach and Shavuot by all those reciting Yizkor. You will feel a special sense of closeness knowing that the names of those you cherish are included in the Yizkor Book.

The donation for each name to be listed is $25.00. You may also sponsor an entire page ($360) or a Partial page ($180) and list all the names of your loved ones.

In addition, you may order a memorial plaque to be placed on our beautiful Memorial Tablet. There are limited amount of plaques left. The lights of each memorial plaque will be kindled at the Yartzeit and at Holidays when Yizkor is recited. The donation for each memorial plaque is $360.00.

Please respond by August 31. Also, please verify the correct Hebrew names of your loved ones.

With best wishes for a Happy & Healthy New Year, Shanah Tovah!

Name of Deceased Hebrew Name Fathers Hebrew name Date of Passing Yartzeit Plaque

Full Page Sponsor ($360 donation) Partial Page Sponsor ($180 donation) Individual listings ($25 each)
Contribution enclosed $  

SECURE PAYMENT
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$
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Expiration
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Name on Card