B"H

High Holiday Reservation Form 5772 - 2011

I would like to reserve a seat for High Holiday services at Chabad of South Broward (Hallandale)

First Name  Last Name

Address  City

Phone  Email

Number of People in party:    1 2 3 4 5 6 7 8 9 10 Adult/s    1 2 3 4 5 6 7 8 9 10 0 Children

I will be attending services on:

 Community Complimentary Rosh Hashanah Dinner 

 Rosh Hashanah Day 1   Rosh Hashanah Day 2    Both

 Yom kippur

***

    $100 per person

  email address

 I will mail a check to Chabad of South Broward.

1295 E. Hallandale Bch Blvd 

Please charge my credit card.

Card Type Visa Master Card Amex Card Number

Expires    CVV code     Amount  

Billing Address

Comments

Wishing all A Shana Tova, a sweet new year!