First Name Last Name Address City State Zip Code Phone Email There is no charge for seats; your donation is greatly appreciated! Suggested donation: $54 individuals, $180 for a family. Amount Adult Attendees 1 2 3 4 5 6 Amount of Children Attendees 0 1 2 3 4 5 6 High Holiday Services I plan to attend Please check all that apply. Rosh Hashanah Eve. | September 9 Evening Service Rosh Hashanah Day 1 | September 10 Morning Service Children's Service Tashlich Service Rosh Hashanah Day 2 | September 11 Morning Service Children's Service Yom Kippur | September 18 - 19 Kol Nidrei Day Service Neilah Service Evening Children's Service Daytime Children's Service Donations aren’t required, but there are hard economic realities which we can’t ignore. The only support we get is from... you. Consider a donation to help cover the costs of these and other wonderful programs that Lubavitch of Yardley brings to our community. $18 $100 $180 $360 $500 $1,000 $1,800 Other Rosh Hashanah Kiddush First Day $180 Rosh Hashanah Kiddush Second Day $180 Yom Kippur Break Fast $180 Sponsor a Machzor - $30 each *Kiddush sponsorships are additional to seat donations. Machzor dedicated in honor/memory of Payment Method Select Visa Mastercard American Express Check is in the mail Card Number Expiration Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVV Code Total Amount to Charge Card Comments Checks can be mailed to Lubavitch of Yardley, 1444 Yardley Newtown Road, Yardley, PA 19067 100% of the proceeds of this donation or payment benefit Chabad Lubavitch of Yardley.
