Reservations and High Holiday Donation Full Name* Prefix First Name Last Name E-mail* I would like to receive news and updates by email Phone Number Area Code Phone Number Services RSVP RSVP For services is not necessary, but it does help us in our planning. We appreciate your letting us know which services you and/or members of your family plan to attend. (Children's program for ages 4-10) Rosh HaShana Morning 9/26 Children's Program 9/26 Dinner 9/26 (details below) Morning 9/27 Yom Kippur Yom Kippur Eve Yom Kippur Morning Children's Program Yom Kippur Afternoon Rosh HaShana Dinner Reservations We'd love to have you join us for Rosh Hashana dinner on Monday evening, Sep. 26th. Joining this dinner is by RSVP only! And although we are not charging a fee for the dinner, we do appreciate donations. Suggested donations are $36 per adult and $10 per child. Adults 1 2 3 4 5 Children 1 2 3 4 5 Total Donation for Dinner $ High Holiday Donation Your generous High Holy Days donations to Chabad by the Sea cover not only the costs of hosting the friendly, non-judgmental, open-to-the-public holiday services; they also help cover the expenses for many of the services Chabad provides all year round. Please give generously and may G-d repay you in kind. High Holiday Donation $5400 $3600 $1800 $720 $360 $180 $72 $36 Total $0.00 Payment Information Payment Credit Card Paypal Credit Card Visa MasterCard American Express Discover Credit Card Type Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Expiration Year Paypal has been selected. Payment will take place on the next page. Billing Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Please review all the information above before clicking the "Submit" button. Submit Should be Empty: This page uses TLS encryption to keep your data secure.