CONGREGATION ETZ CHAIM ~ HIGH HOLY DAYS 5771

Tickets & Reservations for Services, Selichot, Rosh Hashanah luncheon, & Break the Fast

A. Member’s Family / Out of Town Guest Tickets (please be sure to write names on back of form):

____ Number of Tickets @ $50 Sub Total $___________

B. Non-Member Tickets (please be sure to write names and selections on back of form):

____ Number all services @ $100 ____ Number single services @ $50 Sub Total $___________

C. Yizkor Book of Remembrance (please be sure to write names on the back, form due September 13th):

___ $18 1st name ___ $18 2nd name ___ Names @ $10 each $_____ Sub Total $___________

I wish to make my High Holiday Appeal donation at this time:

__ $100 __ $180 __ $360 __ $500 __ $1000 __ $1000 __ $1800 __ $5000 __ Other $_________

Sub Total $___________

I plan on attending the following High Holidays functions. My guests are listed on the back of this form:

Selichot: Saturday, Sept. 4, 7:30pm. For reservations please contact Gloria at 954-578-9454 or djf007@gmail.com

____ Bring a dairy dish for 8-12 OR ____ $18 per person Sub Total $___________

Rosh Hashanah Luncheon: Thursday, Sept. 9, 1:30pm. Reserve by Sept. 1. RSVP to mkltub@aol.com

____ Number of Reservations @ $30 each Sub Total $___________

Break-the-Fast: Saturday, Sept. 18, 7:30pm. Reserve by Sept. 13 to Gloria at 954-578-9454 or djf007@gmail.com

____ Number of Reservations @ $30 each Sub Total $___________

Method of Payment

__ Check or Money Order __ Visa __ MasterCard Amount Charged/Paid $_____________

(Make payable to: Congregation Etz Chaim)

Credit Card Nbr: ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Three Digit Security Code: ___ ___ ___

(From back of card)

Name as it appears on card/check: ________________________________________________ Phone: ______________________

Expiration Date: _________/________ _________________________________________________________

Month Year SIGNATURE (Required for Credit Card Payment)

Billing Address: _____________________________________________________________________________________________

Return completed form to: Congregation Etz Chaim, 1881 NE 26th Street, Suite 100, Wilton Manors, FL 33305

Thank You and Shana Tova!

CONGREGATION ETZ CHAIM ~ HIGH HOLY DAYS 5771

Tickets & Reservations: Names

A. Member’s Family / Out of Town Guest Tickets

Name: __________________________________________________Relationship: _____________________________

Name: __________________________________________________Relationship: _____________________________

Name: __________________________________________________Relationship: _____________________________

Name: __________________________________________________Relationship: _____________________________

B. Non-Member Tickets

All Services Single Service **Day of Single Service

Name: ____________________________________ __________ _____________ ______________________

Name: ____________________________________ __________ _____________ ______________________

Name: ____________________________________ __________ _____________ ______________________

Name: ____________________________________ __________ _____________ ______________________

** Day of Single Service: Erev Rosh Hashanah, Rosh Hashanah, Kol Nidre, Yom Kippur

C. Yizkor Book of Remembrance : In Memory of...

_______________________________________ _______________________________________

_______________________________________ _______________________________________

_______________________________________ _______________________________________

_______________________________________ _______________________________________

_______________________________________ _______________________________________

Selichot attendees:

Name: ____________________________________ Name: ____________________________________

Name: ____________________________________ Name: ____________________________________

Rosh Hashanah Luncheon attendees:

Name: ____________________________________ Name: ____________________________________

Name: ____________________________________ Name: ____________________________________

Break-the-Fast attendees:

Name: ____________________________________ Name: ____________________________________

Name: ____________________________________ Name: ____________________________________

 

 

 

 
 
 
   
 

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