High Holidays

Your Registration Info

First Name *

Last Name *

Email Address *

Phone *

Number of Adults (Suggested Donation):

$ 72.00

Number of Children (Suggested Donation):

$ 54.00

I am giving a different amount:

Sponsor dinner for needy person - $ 36.00

Sponsor a Prayerbook - $ 54.00

Sponsor seat for needy person - $ 72.00

Co-Sponsor Daytime Kiddush - $ 180.00

Sponsor dinner for 10 needy people - $ 360.00

Fully Sponsor Daytime Kiddush - $ 540.00

Other Sponsorship Amount

Total Fee(s)

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *