High Holidays Reservation Form Please fill out all fields that apply in the form below and click 'Submit' when finished. How Many Reservations? Names? Prayer Services Seating Reservations (free of charge) Yom Kippur Evening Yom Kippur - Sep 23 Kol Nidrei - Sept 22, 6:30pm Morning Service - 10:00 am Yizkor Service - 12:00 pm Neilah Service - 5:30 pm Break-fast Buffet - 7:17 pm Sukkot Dinner Under the Stars - Sunday, Sept 27, 6:00 p.m. Before Sept 18: Adult $29.00 | Child $25.00 After Sept 18: Adult $34.00 | Child $30.00 How Many Adults? Names of Adults How Many Children? Names of Children Simchat Torah Prayer & Celebration of the Torah - Oct 5, 7:00 pm All Services are free of charge. Your generous donation is greatly appreciated! We don't charge a set amount per seat for our services or membership, but rather we rely on the generous support of people like yourself to help cover our costs and fund our ever expanding year round programming. Please accept my High Holiday donation in the amount of: $100 $180 $360 $500 Other Amount: $ In honor of In memory of BILLING INFORMATION (must match address on credit card) First Name City Last Name State Address Zip Email Phone PAYMENT INFORMATION Please charge my: Visa Mastercard Amex Discover Card Number: Exp. Date: MONTH January February March April May June July August September October November December YEAR 2015 2016 2017 2018 2019 2020 2021 CVV Code TOTALS Total Amount to be Charged: $ Comments: Please click the "Submit" button below only once and wait for confirmation. This page uses 128 bit SSL encryption to keep your data secure.