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Please fill out the reservation form below.
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Contact Info
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Reservations/Purchase Selections
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First Name
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I will be using this form to reserve for: (check all that apply)
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Last Name
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Rosh Hashanah Evening Services
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Address
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Rosh Hashanah Community Dinner
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City
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Rosh Hashanah 1st Day Services
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State
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Rosh Hashanah 2nd Day Services
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Zip
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Yom Kippur Kol Nidrei
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Phone
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Yom Kippur Morning Services & Yizkor
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Email
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Yom Kippur Neila & Break-Fast light buffet
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Adult / Children High Holiday Reservations
High Holiday Sponsor: $1800 | Kiddush Sponsor: $500
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Adults
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Children
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Adult Name 1
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Child Name 1
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Adult Name 2
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Child Name 2
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Adult Name 3
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Child Name 3
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Adult Name 4
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Child Name 4
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Adult Name 5
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Child Name 5
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Adult Name 6
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Child Name 6
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Rosh Hashanah Dinner Reservations | Sept. 24
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$36 adult, $18 child
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Adults
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Children
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Total Fee:
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PURCHASE PAYMENTS & OPTIONAL DONATION
Help Chabad of Jupiter continue to help others with your optional generous contribution!
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I would like to be sent an acknowledgment to the above listed email address
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CC Type
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Card #:
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Purchase Total
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Exp. Date
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Donation Amt.
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Total
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Comments
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