Printed from ChabadPlantation.com

Seats form

Seats form

High Holiday Seats

Rosh Hashanah & Yom Kippur

Members - $100/seat

Non-Members - $175/seat


Name


Address

City State Zip Code

Phone Email

Number of Seats Total Payment:

Name for Seats

Payment Information

Card Type

Card Number (No Discover) Expiration Date


Card Holders First Name Cardholders Last Name

Billing Address (Street Name and Number)

Zipcode





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