High Holiday Reservation Form 5786 - Lubavitch on the Palisades

ROSH HASHANA - SEPTEMBER 22 - SEPTEMBER 24

YOM KIPPUR - OCTOBER 1 - OCTOBER 2
Full Name
First Name Last Name

Address

Phone Number

Area Code Phone Number
PLEASE SELECT WHICH HOLIDAY AND SERVICE YOU WILL BE ATTENDING - REQUIRED. PLEASE NOTE THAT WE WILL HAVE CHILDREN'S PROGRAMMING DURING SERVICES.
Please select which Holiday you will be attending: (Required)*
E-mail
Please select which Service you will be attending: (Required)*
Please indicate the number of seats you require in the men's and/or women's section - REQUIRED
# of Men*
# of Women*
Please include name of guest if different than full name:
HIGH HOLIDAY COSTS FOR SEATS - ANYONE JOINING WILL BE ASSESSED A SECURITY FEE.
$1,980 FAMILY (4 PEOPLE) + $360 SECURITY FEE - $2,340
$1,800 COUPLE (2 PEOPLE) + $360 SECURITY FEE - $2,160
$990 SINGLE (1 PERSON) + $180 SECURITY FEE - $1,170
$440 EACH ADDITIONAL FAMILY MEMBER/GUEST (NOT A SPOUSE)
Family - 4 People + $360 Security Fee:

$2,340
Couple - 2 People + $360 Security Fee:

$2,160
Single - 1 Person + $180 Security Fee:

$1,170
Additional Guests - $440 each additional member/guest (not a spouse):

$440 - 1 Guest$880 - 2 Guests$1,320 - 3 Guests$1,760 - 4 Guests

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
Comments: If you are changing the number of seats for Yom Kippur, then please note it here
Wishing you and your family a happy, healthy and sweet new year!
Should be Empty:

This page uses TLS encryption to keep your data secure.

PLEASE SELECT WHICH HOLIDAY AND SERVICE YOU WILL BE ATTENDING - REQUIRED. PLEASE NOTE THAT WE WILL HAVE CHILDREN'S PROGRAMMING DURING SERVICES.