Contact Info Full Name* First Name Last Name Address* Street Address Street Address Line 2 City State Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Phone Number* Email* I would like to receive news and updates by email I am a* MemberNon-Member Consider becoming a member of our Chabad family today! Click here to learn more I'd like to reserve for* Rosh Hashanah ServicesRosh Hashanah MealsYom Kippur Pre-Fast MealYom Kippur ServicesYom Kippur Break Fast Rosh Hashanah Seat Reservations Services Attending* Evening Service: Monday, Sept. 22, 7:00 PMChildren's Program: Monday, Sept. 22, 7:00 – 8:00 PMMorning Services: Tuesday, Sept. 23, 9:30 AMSermon and Shofar: Tuesday, Sept. 23, 12:00 PMChildren's Program & Shofar: Tuesday, Sept. 23, 11:30 AM – 1:30 PMShofar and Tashlich at Worth Avenue Clock Tower: Tuesday, Sept. 23, 5:00 PMEvening Service: Tuesday, Sept. 23, 7:30 PMChildren's Program: Tuesday, Sept. 23, 7:30 – 8:30 PMMorning Services: Wednesday, Sept. 24, 9:30 AMSermon and Shofar: Wednesday, Sept. 24, 12:00 PMChildren's Program & Shofar: Wednesday, Sept. 24, 11:30 AM – 1:30 PM Number of Adults* Number of Children* Ages 2-12 Rosh Hashanah Meal Reservations Members: $125 adult • $75 child (ages 1–17) Non-members: $150 adult • $85 child (CLICK HERE to become a member) I'd like to reserve for * Rosh Hashanah Dinner, Monday, Sept. 22Rosh Hashanah Day 1 Lunch, Tuesday, Sept. 23Rosh Hashanah Eve 2 Dinner, Tuesday, Sept. 23Rosh Hashanah Day 2 Lunch, Wednesday, Sept. 24 Number of Adult Members attending Rosh Hashanah Eve 1 Dinner* $125 per adult Number of Adults attending Rosh Hashanah Eve 1 Dinner* $150 per adult Number of Children (Member price) attending Rosh Hashanah Eve 1 Dinner $75 per child Number of Children attending Rosh Hashanah Eve 1 Dinner $85 per child Number of Adult Members attending Rosh Hashanah Day 1 Lunch* $125 per adult Number of Adults attending Rosh Hashanah Day 1 Lunch* $150 per adult Number of Children (Member price) attending Rosh Hashanah Day 1 Lunch $75 per child Number of Children attending Rosh Hashanah Day 1 Lunch $85 per child Number of Adult Members attending Rosh Hashanah Eve 2 Dinner* $125 per adult Number of Adults attending Rosh Hashanah Eve 2 Dinner* $150 per adult Number of Children (Member Price) attending Rosh Hashanah Eve 2 Dinner $75 per child Number of Children attending Rosh Hashanah Eve 2 Dinner $85 per child Number of Adult Members attending Rosh Hashanah Day 2 Lunch* $125 per adult Number of Adults attending Rosh Hashanah Day 2 Lunch* $150 per adult Number of Children (Member Price) attending Rosh Hashanah Day 2 Lunch $75 per child Number of Children attending Rosh Hashanah Day 2 Lunch $85 per child Yom Kippur Pre-Fast Meal Reservations Members: $100 adult • $50 child Non-members: $125 adult • $50 child (CLICK HERE to become a member) Break-Fast is complimentary (RSVP below) Number of Adult Members attending Pre-Fast Meal* $100 per adult Number of Adults attending Pre-Fast Meal* $125 per adult Number of Children (Member Price) attending Pre-Fast Meal $50 per child Number of Children attending Pre-Fast Meal $60 per child Yom Kippur Seat Reservations Services Attending Kol Nidrei: Wednesday, Oct. 1, 6:40 PMEvening Children's Program: Wednesday, Oct. 1, 6:40 – 7:40 PMMorning Service: Thursday, Oct. 2, 9:30 AMChildren's Program: Thursday, Oct. 2, 11:30 AM – 1:00 PMSermon and Yizkor: Thursday, Oct. 2, 12:30 PMNeilah/Concluding Service followed by complimentary break-the-fast: Thursday, Oct. 2, 5:30 PM Number of Adults* Number of Children Ages 2–12 Number attending Break-Fast* Reservation Information Reservation Names and Comments* Names and Ages of Children* attending children's program Donate & Sponsorships Sponsorship Amounts High Holiday Sponsor - $18,000Corporate Sponsor - $10,000Benefactor - $3,600Partner - $1,800Friend - $1,000Sponsor - $500Double Chai - $360 Membership Please consider my contribution as my membership Payment Payment Credit Card Paypal Check / Cash App Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Cash/check payable to The Chabad House: 361 S. County Rd. Palm Beach, FL 33480.<br /><br />Cash App: $HindelLevitin.<br /><br />Please click SUBMIT at the bottom of this page and then visit paypal.com or CashApp to send your payment total, this form does not automatically redirect you to pay.Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Total $0.00 USD Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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