1. Registration Full Name* First Name Last Name Address* Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Phone Number* Area Code Phone Number E-mail* Rosh Hashanah Dinner: Oct 2 West Loop address provided upon RSVP. 7:00pm Rosh Hashanah Community Dinner Limited spots available. Amount Attendees RH Dinner 1 2 3 4 Rosh Hashanah Day 1 Services: Oct 3 West Loop address provided upon RSVP. 10:30am Morning Services 12:00pm Shofar Blowing 1:00pm Kiddush - Lunch Social Amount Attendees RH Day 1 Services 1 2 3 4 Rosh Hashanah Day 2 Services: Oct 4 West Loop address provided upon RSVP. 10:30am Morning Services 12:00pm Shofar Blowing 1:00pm Kiddush - Lunch Social Amount Attendees RH Day 2 Services 1 2 3 4 5 6 Yom Kippur Eve Services: Oct 11 West Loop address provided upon RSVP. 5:55pm Candlelighting & Fast Begins 6:30pm Evening Service Amount Attendees YKEVE Services 1 2 3 4 5 6 Yom Kippur Day Services: Oct 12 West Loop address provided upon RSVP. 9:00am Morning Service 11:00am Yizkor Memorial Service 1:00pm Science and Torah Lecture 5:30pm Mincha/Neila Closing Amount Attendees YKDAY Services 1 2 3 4 5 6 Yom Kippur Buffet Break-the-Fast: Oct 12 West Loop address provided upon RSVP. 6:54pm Buffet Break-Fast Amount Attendees Break-the-Fast 1 2 3 4 5 6 Optional Donation There is no cost to join for services, dinner, and lunch, however our suggested donation for High Holidays is $180. Donation Amount $180$360$540$720$1800$3600$5000 High Holiday Sponsor High Holiday Main Sponsor: $5,000High Holiday Co-sponsor: $1,800Rosh Hashanah Eve Dinner: $1,800Rosh Hashanah Kiddush: $1,800Yom Kippur Break-fast: $1,000New Prayer Books: $500Yizkor Donation: $360Aliya to the Torah Rosh Hashana: $180Aliya to the Torah Yom Kippur: $180 Total $0.00 Payment Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year 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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