Join Us for a Special High Holidays Celebration This year, more than ever, we’re making an extra effort to bring our community together during the High Holidays. Whether you’ve been to Chabad before or not, we want everyone to feel welcomed and valued! After a year of challenges, it’s vital that we stand as one, drawing strength, inspiration, and encouragement from each other as we proudly celebrate our Jewish identity. We invite you to be part of this important and meaningful time. Please take a moment to fill out the form below to let us know which services you’ll be attending. Full Name* First Name Last Name E-mail* Your email address for any follow-up communication. Phone Number (Optional): If you’d like to receive a confirmation by phone or have any special requests. Area Code Phone Number Rosh Hashanah Community Dinner (2nd Night) Thursday, October 3 Number of Dinner attendees: 1 attendee - $40 2 attendees - $80 3 attendees - $120 4 attendees - $140 Family Pricing 5 attendees - $160 6 attendees- $180 7 attendees - $200 8 attendees - $220 Services Please select all that apply Number of Registrants to Services: 2nd Registrant Name* First Name Last Name 3rd Registrant Name* First Name Last Name 4th Registrant Name* First Name Last Name 5th Registrant Name* First Name Last Name Number of Attendees One Adult - $25 Two Adults - $50 Three Adults - $75 One Adult, One Child - $40 One Adult, Two Children - $55 Two Adults, One Child - $65 Two Adults, Two Children - $80 Family Price - $75 Rosh Hashanah: Wednesday, October 2 (Evening Service 6:45 PM)Thursday, October 3 (Morning/Main Service 9:00 AM)Thursday, October 3 (Children's Service 11:00 AM)Thursday, October 3 (Evening Service 6:45 PM)Friday, October 4 (Morning/Main Service 9:00 AM)Friday, October 4 (Children's Service 11:00 AM) Yom Kippur: Friday, October 11 (Kol Nidrei Services 6:35 PM)Shabbat, October 12 (Morning Service & Yizkor 9:00 AM)Shabbat, October 12 (Children's Service 11:00 AM)Shabbat, October 12 (Mincha, Maariv, & Ne'ilah 5:10 PM) High Holiday Donations Help Make It Happen! Chabad has a challenge. We do not charge anyone to come and pray. Yet, we have a budget to cover. Your donation enables Chabad to continue serving the Jewish community! Would you like to make a donation? I would like to make a donation.Not at this time. Donation for the High Holidays: Suggested: $180/individual, $360/family Individual - $180Family - $360$540$720$1,000$1,800$3,600Other - specify below. Please accept my donation of: $ Add an additional Mitzvah Donation, and merit to be honored with one of the following Mitzvot during this special time. Sponsor Kiddush Rosh Hashanah Day 1 - $540Sponsor Kiddush Rosh Hashanah Day 2 - $360Hold the Torah for Kol Nidrei (3) - $180Maftir Yonah - $1800Psicha of Neilah: Open the Ark at the holiest time - $540Sponsor Yom Kippur Break-Fast - $540 Do You Have Any Special Requests or Needs? Please let us know if there’s anything we can do to make your experience more comfortable or meaningful. Would You Like to Honor a Loved One During the Yizkor Service? If yes, please provide their name(s) here. How Did You Hear About Our Services? Past ParticipantFriend or Family MemberCommunity AnnouncementSocial Media Would You Like to Invite Someone Else? Please provide their name and email, and we’ll be happy to reach out with a personal invitation. Total $0.00 Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Paypal has been selected. Payment will take place on the next page. 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