High Holidays Registration Form

(Please register each person individually)

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone

Membership for the year to Chai Centre is $180. This includes tickets for the High Holidays as well as access to special pricing throughout the year.

Lunch With The Rabbi on Rosh Hashana is included for paid members. All others, $50.

You are coming for: (please select all that apply)

Choose one - Payments are fully tax deductable.