There is NO CHARGE for seats; $180 suggested donation per seat (covers Rosh Hashana and Yom Kippur) is greatly appreciated.
| First Name |
Last Name |
| Address |
City |
| State |
Zip Code |
| Phone |
Email |
| Number of Adults |
Number of Children |
Age of Child | Indoor/Outdoor Preference |
| 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 |
|
Help Chabad bring more light to the community with your generous contribution. |
|
| $ | |
| Card Number |
Expiration |
| CVV Code |
Total Amount to Charge Card |
