High Holiday Reservation Form 5781 Information Full Name: Address: City: State: Zip: Home Number: Cell Number: Email: Event: Services which I/we will be attending: (Required) Rosh Hashana Yom Kippur We are offering two options for services. All services will require congregants to wear face masks and follow social distancing guidelines. Seating is extremely limited with a maximum occupancy per room so please RSVP at your earliest convenience. Seats will be given on a first come, first serve basis. Anyone joining for services will also be assessed a security fee. Please indicate where you would like to be seated for the high holiday services below: (Required) Main Sanctuary - Chabad davening in Ashkenazic tunes with Rabbi Mordechai Shain Occupancy limit: 50 men/50 women Outdoor Tent - Chabad Davening in Sephardic tunes with Rabbi Yitzchak Gershovitz Occupancy limit: 50 men/50 women Please select (required): $1,800 Family (4 people) + $360 Security Fee - Total $2,160 $1,080 Couple (2 people) + $360 Security Fee - Total $1,440 $770 Single (1 person) + $180 Security Fee - Total $950 $360 Add'l Family Member/Guest (Not a spouse) Please indicate the number of Men and Women seats below: Men Women COMMENTS: I am not attending but would like to make a high holiday donation. Payment Method Please charge my credit card Card number: Exp date (mm/yyyy): Cardholder Name: Address of Cardholder: State of Cardholder: Zip of Cardholder: CVV Security Code What's This? Amount to be charged to credit card: Wishing you a happy and healthy sweet new year! This page uses 128 bit SSL encryption to keep your data secure.