Chabad of Bedford

Celebrate Freedom

Rosh Hashana: September 29 - October 1
Yom Kippur: October 8-9

ב"ה

Reservations

HIGH HOLIDAY RESERVATION FORM

Please fill in this form to make a reservation for you and your family. Please Note: Membership is not required. We strongly encourage and need your vital support, however no one is turned away for lack of funds!

For more information please call 914-666-6065 or email info@chabadbedford.com.
Your Information
Name*

First Name Last Name
Phone Number

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

High Holiday Reservations
Number of Adults*
Number of Children*
Please list the names of Adults and Children attending:*
Suggested Donation
Paid Children
Paid Adults
*

$150 per Adult, $75 per Child $500 per family My family is not in a position to make a donation Other amount (please enter amount)
Other amount
Sponsor a seat for someone who can't afford
Total

$0.00

Payment

Credit Card Pay by check

Postal / Zip Code

Country

Comments:
Should be Empty:

This page uses TLS encryption to keep your data secure.

Services

Rosh Hashana Dinner