Chabad of Golden Beach

High Holidays Reservation Form

ONLY FOR NOT YET MEMBERS

Due to limited space Registration for Main sanctuary will be on a
"First come, Fist saved" basis

First Name:	A value is required.
Last Name:	A value is required.
Spouse	A value is required.
Address:	A value is required.
Address 2:
City:	A value is required.
Zip Code:	A value is required.
Home Phone:	A value is required.
Cell Phone:
E-Mail:	A value is required.
Ashkenazic Minyan Sephardic Minyan



Non Member Seats $260 each name
Men Seats names:
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Women Seats names:
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PAYMENT
Total Due: $
Credit Type:	A value is required.
Card Number:	A value is required.
Expiration Date:	A value is required. A value is required.



Due to limited space Registration for Main sanctuary will be on a "First come, Fist saved" basis