RH/YK Seating 2019/5780

Payment in full must accompany this form. Payment must be made via PayPal

** The Shul may reject an incomplete Form or a Form submitted by anyone with outstanding balances owed to the Shul who has not made financial arrangements with the Treasurers. Please settle your obligations with the Shul (or make appropriate arrangements with the Treasurers) as soon as possible to ensure that your seat request may be timely honored. You may contact the President or one of the Treasurers personally, in confidence, with any questions or concerns about your statement balance.

Members - $125 per seat - $115 per seat for either Rosh Hashana or Yom Kippur

Associate Members - $175 per seat - $165 per seat for either Rosh Hashana or Yom Kippur

Non- Members - $250 per seat

* Name

* Email

* Cell Phone

* Please Check One

MemberAssociateMemberNon-Member

Men (Both RH & YK)

Men Rosh Hashana ONLY

Men YK ONLY

Women - Both RH & YK

Women RH ONLY

Women YK ONLY

Downstairs Women Seats Check Here

Downstairs

Please indicate in the seating location box if you would like to sit downstairs

Location Preference (Reasonable efforts will be made to honor seating preferences)

Seat Payment (please enter amount due)

Amount

Balance Payment (please enter amount due)

Amount

Wed, October 16 2019 17 Tishrei 5780