Please include our family for High-Holiday seating.Tickets are priced as follows: $150 per individual. $360 per family.No one will be turned away due to lack of funds.Your InformationFull Name*First NameLast NameEmail*Seat ReservationsSeat PricingPer seat - $150Family - $360Included in my membership/donor tablet selection belowNo. of Adults*No. of Adults*$150 per seatAdult Attendee #1*First NameLast NameAdult Attendee #2*First NameLast NameAdult Attendee #3*First NameLast NameAdult Attendee #4*First NameLast NameAdult Attendee #5*First NameLast NameAdult Attendee #6*First NameLast NameNo. of Children*Child Attendee #1*First NameLast NameChild Attendee #2*First NameLast NameChild Attendee #3*First NameLast NameChild Attendee #4*First NameLast NameChild Attendee #5*First NameLast NameChild Attendee #6*First NameLast NameMembershipYes, I'd like to become a memberInclude us as members of the Chabad of Roslyn family. Membership includes High Holiday Seats.Membership Contribution AmountEnclosed is my tax-deductible contribution of $770 for membership, and / or other amount for your growing efforts.$Donor's TabletAs 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 HallAll contributions up to $360,000 will be matched by a generous donor. 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 AmountsPlease 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 - $1,800PaymentTotal$0.00PaymentCredit Card Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / 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 SaharaYemenZambiaZimbabweOtherCountrySubmitShould be Empty: This page uses TLS encryption to keep your data secure.