Full Name* First Name Last Name Phone Number Area Code Phone Number E-mail* Number of Adult * 123456 Number of Children 123456 Select all that apply Rosh Hashanah Day One Morning Service/Torah readingDay one ShofarRosh Hashanah Day Two Morning Service/Torah readingDay Two ShofarDay two Kids programYK Kol NidreiYK Morning ServiceYK Kids ProgramYK Torah ReadingYK YizkorYK Mincha and Neilah Closing (5:15PM)YK Shofar and Break Fast Do You Have Any Special Requests or Needs? Please let us know if there’s anything we can do to make your experience more comfortable or meaningful. Would You Like to Honor a Loved One During the Yizkor Service? If yes, please provide their name(s) here. How did you hear about us? Past ParticipantFriend or Family MemberCommunity AnnouncementSocial Media Would you like to invite someone else? Please provide their name and email, and we’ll be happy to reach out with a personal invitation. Thank you for taking the time to RSVP! By joining us, you’re helping to strengthen our community and stand proudly together. We look forward to welcoming you and celebrating the High Holidays together. If you have any questions, feel free to contact us at 845-440-7592 or [email protected] Optional Donation Every seat at our High Holiday services is made possible by the generosity of our sponsors. Reserve your place for Rosh Hashanah and Yom Kippur, and choose a sponsorship that helps us welcome every Jew in Harford County - " no one is ever turned away. Select a level below. Your gift underwrites seats, meals, and programming throughout the month of Tishrei. During the High Holidays, we will display a Caring Wall containing the names of the people whose gifts helped make these experiences possible. Requests for anonymity will always be respected. Donation amount $50$180$360$540$770$1000$1800$3600 Total $0.00 Payment Credit Card Paypal Check/cash 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 Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing Address Street Address 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 I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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