High Holiday Reservations and Donations Form

Personal Information

Title: Last Name First Name

Address City State Zip

Phone No E-mail

Rosh Hashanah

Sunday, Sept. 29
Evening Services

Rosh Hashanah Dinner

Adults $34 ($39 after Sept. 23) Children (ages 3-12) $18 ($22 after Sept. 23)

Monday, Sept. 30
Morning Services & Kiddush Adults Children

Evening Services Adults Children

Tuesday, Oct. 1

Morning Services and Kiddush Adults Children


Yom Kippur

Evening Services, Tuesday, Oct. 8 Adults Children

Morning Services, Wednesday, Oct. 9  Adults Children


$1,800 $540 $180 Other Amount

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Payment Information

Card Type:

Name on Card: Card Number

Expiration Date:   CVV:

Total Amount:

I will mail the check to Chabad of the Inland Empire
8710 Baker Avenue
Rancho Cucamonga, CA 91730