*Due to Covid -19 and our limited seating capacity, only those with Reserved Seats will be admitted. To attend, please fill out the form below. All others are invited & encouraged to join our Pre & Post-High Holiday Zoom Inspirational Messages.RESERVATION FORMFor a Reserved Seat, please fill out the information below. 1. Your InformationFull Name*First NameLast NameE-mail*Phone Number*Area CodePhone Number2. Reservations$200/seat includes both Rosh Hashana & Yom Kippur ServicesMen's Seat(s)Women's Seat(s)Boy's Seat(s)Age 12 & underGirl's Seat(s)Age 12 & underIs your family able to sit next to one another, closer than 6 feet apart?YesNoPlease let us know which services we can expect to see you!Rosh Hashana Morning ServiceKol Nidrei ServiceYom Kippur & Yizkor Service #1 - SOLD OUTYom Kippur & Yizkor Service #2Neilah ServicePlease list the names of all attendingIf your guests would like to be notified of other events, please include their contact information.Special RequestsLet us know if there is someone, in particular, you would like to be seated with and we will do our best to accommodate.During our Yizkor service, it would be our honor to remember your loved ones during this time. Please provide us with their name and their father's name.Names for Yizkor:Please provide name of individual, their father's name, and your relationship to them.3. High Holiday DonationsThis year, more than ever, we are asking for your thoughtful donations. Please give generously, so that we can continue to help others, especially in these difficult times.Yes! I'd like to make a High Holiday donation$10000$5000$3600$1800$1000$500$360$200Become our Partner$18,000$13,000$5,400$1,800Donation TypeOne-time DonationMonthly Donation4. PaymentTotal$0.00PaymentCredit Card Paypal Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2020202120222023202420252026202720282029Expiration YearPaypal has been selected. Payment will take place on the next page.Billing AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryI would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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