Event Reservation Form

Reservation for Yom Kippur

Please make your selection:
1. Family package: Includes 2 adults + two kids
2. Double occupancy package: includes 2 adults.
3. One room single reservation.

Please Note:
1. All children must be registered in order to be serviced at the childrens room. Children under 1.5 are FREE but must also be registered for childcare purposes.
2. Additional children for $47 is either for 1 child for double occupancy package or for children 3+ for family package.

Reservation Type How many? Amount Total
1. Family Package. includes parents and 2 chil
437.00
Two Children included with family OR children unde
0.00
2. Double occupancy - no kids
367.00
Additional Child: 3+ for family OR 1 for double oc
47.00
3. Single room - one person
297.00
Total

Contact Information
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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Payment Information
Reservation Amount

*

We appreciate your added donation in honor of Yom Kippur
Donation Amount
$397 - Sponsor a family
$180 - Chai Sponsor
$94 - Sponsor 2 children
$47 - Sponsor a child
$36 - Double Chai
Other

Total Amount

*

Card Number

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Card Expiration

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*

Security Code

*

Same as above

Name on Card

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Billing Address

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Zip Code

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Note

Reservation Type	How many?	Amount	Total
1. Family Package. includes parents and 2 chil		437.00
Two Children included with family OR children unde		0.00
2. Double occupancy - no kids		367.00
Additional Child: 3+ for family OR 1 for double oc		47.00
3. Single room - one person		297.00
Total