High Holiday Seat Reservation Form

Everyone is welcome to come and pray at Chabad of Midtown. Nobody will be turned away due to lack of funds.

High Holiday seat reservation. (suggested donation $100.00 per seat)

Amount you would like to donate
Please specify names of people planning to attend (separated by comma) or amount of seats:

Personal Information
First Name Last Name
Address Line 1 Address Line 2
City State
Zip Code Country
Phone This is my: Home address
Business address
Payment Information:
I'll send my donation by mail to: Chabad of Midtown Manhattan 509 Fifth Ave New York, NY 10017
Card Type
Card Number
Expiration Date
CVV Security Code
Email Address
Reconfirm Email Address
Please acknowledge my gift by mail to the above street address.
You may acknowledge my gift to my email address
Please contact me to discuss additional giving opportunities.

Please click submit only once.
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