High Holiday Reservation Form

High Holiday Services Reservation Form   

As is always the case at Chabad, regardless whether you have a reserved seat or not you will always be welcomed and made to feel comfortable at our services as there will be available open seating as well.

**Please check the appropriate box below and complete the entire form- if any changes arise once your form has been submitted, please call the office at 954-970-9551

I/we will be attending services for:

ROSH HASHANAH SERVICES - Sunday September 9th - Tuesday September 11th 2018

YOM KIPPUR SERVICES - Tuesday September 18th - Wednesday September 19th 2018

BOTH, ROSH HASHANAH & YOM KIPPUR SERVICES at the Marriott Hotel and I would like to reserve seats for:

Men 0 1 2 3 4 5 6 7 8 9 10 Woman 0 1 2 3 4 5 6 7 8 9 10 Children: 1 2 3 4 5 6 7 8 9 10 0

Names as to appear on seats:

Suggested Donation: $100 Adult - $50 Youth (13-18) - Children: FREE

Name:

Address:

City: State: Zip:

Home phone number:

Office phone number:

E-mail:

Payment Method

Please charge my credit card

Visa Master Card Amex

Card number: Exp:

Name on card:

CVV Security Code  

Billing zip code

Amount to be charged to credit card:

I'm sending a check for the amount of:

Please make checks payable to: Chabad of Parkland, and they should be sent to Chabad of Parkland- High Holiday Reservations, 7170 Loxahatchee Parkland, FL. 33067

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Interested in becoming a Member of Chabad of Parkland?   DO NOT submit the above form (as Membership covers High Holiday seats) rather click here:  Membership Application