Event Reservation Form

Attendee Information

Please enter all attendee names

Guest Type	Number of Guests	Amount	Total
First Eve Dinner Adult		36.00
First Eve Dinner Child		24.00
First Day Lunch Adult		25.00
First Day Lunch Child		18.00
Second Eve Dinner Adult		36.00
Second Eve Dinner Child		24.00
Second Day Lunch Adult		25.00
Second Day Lunch Child		18.00
YK Break Fast Adult		25.00
YK Break Fast Child		18.00
All Meals RH and YK Adult		154.00
All Meals RH and YK Child		100.00
Membership Family		1000.00
Membership Single		500.00
Donation/Sponsorship		180.00
Machzor Prayer Book Sponsor		54.00
Shul Locker Renewal		180.00
Total

	#	Guest Type	Guest First Name	Guest Last Name

Reservation Amount

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We appreciate your donation in honor of the New Year!

Additional Donation Amount

Grand Total Amount

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Title

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First Name

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Last Name

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Address

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City

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State

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Zip

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Email

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Phone

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Name on Card

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Card Type

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Card Number

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Card Expiration

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Security Code

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Same as above

Billing Address

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Zip Code

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Note