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High Holiday Seat Request Form

High Holiday Seat Request Form

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Name Male Female Rosh Hashanah
Yom Kippur Cost
Members Included in membership dues ***
Included in membership dues ***
Member's Children: Post Bar/Bat Mitzvah/College Included in membership dues ***
Included in membership dues ***
Member Guest $100
$100
Associate Members $200
$200
Associate Member Guest $150
$150
Associate Members Children:Post Bar/Bat Mitzvah* $100
$100
Non Member $300
$300

*** 2 seats included for Full Family, Young/ Senior Family and Single Parent memberships; Chai Sponsor includes 6 seats; Chai Benefactor includes 4 seats; Adult children are $100 per person

* Member guest seats are $100, Associate member seats are $200 for Adults, $100 for post Bar/Bat Mitzvah age children, $150 for Guests

Payment Information:

Name on Card
Please Charge My: Visa Mastercard Amex Exp. Date
Card # CVV
Address Zip
Email Phone Number

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