If you are reading this page you are already a member of our Synagogue. Every Jew is a member here and we do not charge a membership fee. Walk in whenever you like, and you'll be welcomed with a smile. 1. Your Information Full Name* First Name Last Name 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 Phone Number* Area Code Phone Number E-mail* 2. Seat Reservations Select a category:* Standard: Free High Holiday Single $54 High Holiday Family $108 Chai Donor: $180 Supporter: $360 Supporting Partner: $540 Patron: $1,080 Chai Supporter: $1,800 Supporting Benefactor: $5,400 Amount Adult Attendees* 1 2 3 4 5 6 Amount of Children Attendees 1 2 3 4 5 6 Adult Name 1 Adult Name 2 If you would like to reserve for more people please contact us. Rosh Hashana: I/We will be attending: Rosh Hashana Evening Service ~ Friday, September 15 @ 7:00 PMRosh Hashana Day 1 Morning Service ~ Shabbat, September 16 @ 9:00 AMRosh Hashana Day 2 Morning Service ~ Sunday, September 17 @ 9:00 AM Yom Kippur: I/We will be attending: Kol Nidrei Service ~ Sunday, September 24 @ 6:45 PMYom Kippur Morning Service ~ Monday, September 25 @ 9:00 AMYom Kippur Mincha & Neilah Service ~ Sunday, September 25 @ 5:30 PM Any comments Number of adults: Number of SLC Students: Number of children: I would like to Attend the Dinner 1 Adult 2 Adult 3 Adult 4 Adult 5 Adult 6 Adult 7 Adult 8 Adult 9 Adult 10 Adult How Many Children 1 Child 2 Children 3 Children 4 Children 5 Children Number of adults attending dinner: Number of children attending dinner: 3. High Holiday Donation & Sponsorship Opportunities We rely on your donations to bring you these wonderful Holiday services and delicious Kiddush. Please consider a donation that fits your budget. $180$360$500$1000$1800$5400 I would like to sponsor Yom Kippur Break-fast - $500I would like to sponsor Rosh Hashana Kiddush Luncheon- $720I would like to sponsor a Rosh Hashana Service - $1,800I would like be a Gold High Holiday Sponsor - $3,600 Total $0.00 Payment Credit Card Paypal Pay by Check: Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code 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 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Paypal has been selected. Payment will take place on the next page. Please make checks payable to Chabad Jewish Center 1 Stone Place #101 Bronxville NY 10708 I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.