Please include our family for High-Holiday seating. Tickets are priced as follows: $180 per individual. $450 per family. No one will be turned away due to lack of funds. Your Information Full Name* First Name Last Name Email* Seat Reservations Seat Pricing Per seat - $180Family - $450Included in my membership/donor tablet selection below No. of Adults* No. of Adults* $180 per seat Adult Attendee #1* First Name Last Name Adult Attendee #2* First Name Last Name Adult Attendee #3* First Name Last Name Adult Attendee #4* First Name Last Name Adult Attendee #5* First Name Last Name Adult Attendee #6* First Name Last Name No. of Children* Child Attendee #1* First Name Last Name Child Attendee #2* First Name Last Name Child Attendee #3* First Name Last Name Child Attendee #4* First Name Last Name Child Attendee #5* First Name Last Name Child Attendee #6* First Name Last Name Membership Yes, I'd like to become a member Include us as members of the Chabad of Roslyn family. Membership includes High Holiday Seats. Membership Contribution Amount Enclosed is my tax-deductible contribution of $770 for membership, and / or other amount for your growing efforts. $ Donor's Tablet As you select this year’s High Holiday reservations, please consider benefiting many years to come by participating in our Kiddush Social Hall Donor’s Wall. An Elegant Engraved ‘Donor Tablet’ Will be a Permanent Fixture of Beauty and Tribute in the Front Lobby Of Kiddush Social Hall The Donor’s Arch will include our membership package, seats for the High Holidays and your family’s name inscribed at our Kiddush Social Hall until Moshiach. Please assist us with your contribution and secure your merit ‘On High’! Donor’s Tablet Amounts Please accept our donation as selected below which includes membership and High Holiday seats. Social Hall - $360,000Sephardic Chapel - $180,000Lobby - $75,000Kitchen - $75,000Large Plaque - $50,000Small Plaque - $25,000Founder - $18,000Pillar - $10,000Donor - $1,800 Payment Total $0.00 Payment Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2023202420252026202720282029203020312032 Expiration YearBilling Address Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.