Seat Reservation

Address: (If different from Billing Address)

Phone Number:*

Area Code Phone Number
E-mail:*
Email Address
Minyan:*

CHABAD MINYANSEPHARDIC MINYAN
Holidays Attending:*

Both HolidaysRosh Hashana Only 9/12-9/13Yom Kippur Only 9/20-9/21
Seats

SEAT PRICES:

Permanent Seat Holder (Your seats are available to you at no cost)

Family Membership (First 2 seats free) - Single Membership (First 1 Seat free)

Member additional seats: $100.00
Non-Member seats: $150.00

Members: Number of Men seats*
Members: Number of Women seats*
Members: Names of attendees* Family membership: first 2 seats free. Single membership: first seat free
Members: Number of Additional Seats $100/seat
Non-Member Number of Seats* $150/seat
Non-Member: Number of Men seats*
Non-Member: Number of Women seats*
Names
Total

$0.00

Payment:

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

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Country

Please Note:

RESERVATIONS ARE CONFIRMED UPON RECEIPT OF PAYMENT IN FULL
MEMBER RATES AND CONFIRMED SEATS ONLY APPLICABLE WITH FULLY PAID 5786 MEMBERSHIP FEES.
For Lifetime seat owners, your 2 free seats are part of the permanent seats you own.
For members without lifetime seats, your 2 free seats are allocated where there is available seating.

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