CBIJM High Holidays 5783

APPLICANT INFORMATION:

* First Name

* Last Name

* Email Address

* Phone Number

SEATS REQUIRED:

* No. of Seats:

Adults ($154.00 per Adult)

Children (5-18 yrs) ($54.00 per Child)

EMERGENCY FUND DONATION:

Emrg. Amount

If you wish to make a donation to the emergency fund please enter an amount, otherwise leave blank.

LIST NAMES OF ALL PERSONS WHO REQUIRE SEATS:

* First Name

* Last Name

* Please Select One

Click on the "+" sign below to add additional names.

* First Name

* Last Name

* Please Select One

REQUESTS FOR ALIYOTH:

1st Day Rosh Hashana - Monday, September 26

1. Full Name

2. Full Name

Aliyah Amount

Fund

2nd Day Rosh Hashana - Tuesday, September 27

1. Full Name

2. Full Name

Aliyah Amount

Fund

Yom Kippur - Wednesday, October 5

1. Full Name

2. Full Name

Aliyah Amount

Fund

TOTAL

AFTER SEPTEMBER 15TH DEADLINE:
PLEASE PICK UP YOUR TICKETS FROM LINDA AT SYNAGOGUE OFFICE
MONDAY TO THURSDAY BETWEEN 9:00 A.M. & 4:30 P.M.
FRIDAYS 9:00 A.M. TO 2:00 P.M.

Fri, April 19 2024 11 Nisan 5784