Please reserve High Holiday seats for:

Rosh Hashanah & Yom Kippur Rosh Hashanah only
Yom Kippur only

Adult/s

Child/ren

Please specify all names for assigned seating:

Please reserve place/s at the Rosh Hashanah Dinner for:

Adult/s

Child/ren

Please type the name(s) of those who

wish to attend (if different than above):

Please accept this donation for my/our High Holiday Seats: ($136.00 suggested per seat)

Amount:

Please charge the following amount for my/our Dinner fees: ($36 adult, $10 child)

Amount:

Credit Card Information:

Card Type:

Card Number:
(Please enter only digits)
Valid Until:

PLEASE NOTE: The name below must match the information on credit card .
First Name:
Middle Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Email:
Please Retype
Email:
Phone: