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. 9
Evening Services

Rosh Hashanah Dinner

Adults $32 ($38 after Sept. 3) Children (ages 3-12) $18 ($22 after Sept. 3)

Monday, Sept. 10
Morning Services & Kiddush Adults Children

Evening Services Adults Children

Tuesday, Sept. 11

Morning Services and Kiddush Adults Children


Yom Kippur

Evening Services, Tuesday, Sept. 18 Adults Children

Morning Services, Wednesday, Sept. 19  Adults Children


$1,800 $540 $180 Other Amount

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Payment Information

Card Type:

Name on Card: Card Expiration Date:

Total Amount:

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