Event Reservation Form

Contact Information

Title

First Name

Last Name

Address

City

State

Zip

Phone

Note

Attendee Information

Guest Type	Number of Guests
Community Holiday Dinner (Location upon RSVP)
Rosh Hashanah Day 1 Services Sep 23 @ 10:00am
Rosh Hashanah Day 1 Kids Program Sep 23 @ 11:00am
Rosh Hashanah Day 1 Shofar Sep 23 @ 12:00pm
Rosh Hashanah Day 2 Services Sep 24 @ 10:00am
Rosh Hashanah Day 2 Kids Program Sep 24 @ 11:00am
Rosh Hashanah Day 2 Shofar Sep 24 @ 12:00pm
I would like you to sound the Shofar at my home
Yom Kippur Kol Nidrei Oct 1 @ 6:30pm
Yom Kippur Morning Services Oct 2 @ 10:00am
Yom Kippur Kids Program Oct 2 @ 11:00am
Yom Kippur Yizkor Service Oct 2 @ 12:00pm
Yom Kippur Mincha Service Oct 2 @ 5:00pm
Yom Kippur Neila Service Oct 2 @ 6:00pm
Total

Payment Information

Reservation Amount

OPTIONAL DONATION Participation in all High Holiday programs is free. Please consider a donation to help cover the costs of these and other wonderful and vital programs that Chabad of Melrose brings to our community.

Card Number

Card Expiration

Security Code

Same as above

Name on Card

Billing Address

Zip Code