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)
Day 1 Services Oct 3 10am at 7456 Melrose
Day 1 Kids Program Oct 3 11am at 7456 Melrose
Day 1 Shofar Oct 3 11:30 am at 7456 Melrose
Community Tashlich Oct 3 4pm (Location upon RSVP)
Day 2 Services Oct 4 10am at 7456 Melrose
Day 2 Kids Program Oct 4 11am at 7456 Melrose
Day 2 Shofar Oct 4 11:30 am at 7456 Melrose
I would like you to sound the Shofar at my home
Kol Nidrei Oct 11 6pm at 806 N. Vista St.
Morning Services Oct 12 10am at 7456 Melrose
Kids Program Oct 12 11am at 7456 Melrose
Yizkor Service Oct 12 11:30am at 7456 Melrose
Mincha Service Oct 12 4:30pm at 806 N. Vista St.
Neila Service Oct 12 5:30pm at 806 N. Vista St.
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