Register for High Holidays


Attendee 1: Attendee 2:

Name:
 

Name:

Address:

Address:

Phone:

Phone:

Email:

Email:

I will be attending the following events:

 Rosh Hashanah Services - $54 a person

 Yom Kippur services - $54 a person
Payment info: If there is a charge for any of the above, please bill the following card:

Card type:

Card Number:

Expiration:

Name on card: