This form is currently closed. Welcome to the Chabad of Mid-Suffolk High Holiday experience. Where the services are Warm. And Meaningful. And Warm. There is limited space so please register early. For members, seats for your family are included in your membership. If at this time you chose not to be a member, we suggest a donation of $150 per person or $550 for a family. If you would like to become a member, please click here to submit an online form or click here to download the PDF form. We look forward to formally welcoming you aboard in the very near future. Contact Info Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Address* Street Address Street Address Line 2 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 Rosh Hashanah Evening - October 2 6:00 PM - Mincha Services How many women attending for Rosh Hashanah Evening Service? How many men attending for Rosh Hashanah Evening Service? Names of Attendees* Rosh Hashanah Day 1 - October 3 9:00 AM - Morning Service at Chabad (Shofar Blowing at 11:30 AM)5:00 PM - Shofar in the Park Please RSVP for Shofar in the Park here. How many women attending for Rosh Hashanah Morning Services Day 1? How many men attending for Rosh Hashanah Morning Services Day 1? Names of Attendees* Rosh Hashanah Day 2 - October 4 9:00 AM - Morning Service at Chabad (Shofar Blowing at 11:30 AM) How many women attending for Rosh Hashanah Morning Services Day 2? How many men attending for Rosh Hashanah Morning Services Day 2? Names of Attendees* Shofar in the Park: How many children attending? Shofar in the Park: How many adults attending? Names of Attendees Service Reservations - Yom Kippur Yom Kippur - October 11 5:30 PM - Mincha/Kol Nidrei Yom Kippur - October 12 9:00 AM - Morning Service/Yizkor4:30 PM - Mincha/Ne'ilah How many women attending for Yom Kippur? How many men attending for Yom Kippur? Names of Attendees* I am not able to come to services, please send a Rosh Hashanah and/or Yom Kippur Machzor to my home: Please select the number of Machzorim you would like to purchase: $36/book I would like to purchase: Rosh Hashana MachzorYom Kippur MachzorBoth Reservations Membership Status* I am a MemberI am not a Member yet - I want to joinI am not a Member yet I am sending my membership fees by check Membership Senior/Single MembershipFamily Membership Please click here for the Partnership Application Form I would like to contribute $1200 for a Family MembershipI would like to contribute $864 for a Senior/Single Membership Total toward seat reservations:* $150$300$450$550$1000$1800 Additional Sponsorship Opportunities An age old custom is to usher in the New Year with additional Mitzvahs in honor or in memory of those dear to us. Bring blessings on your family and the community at large by helping sponsor these services. Your additional contribution will allow us to continue providing educational programs for young and old. Your additional contribution will allow us to continue providing educational programs for young and old. RH Evening: $720RH Morning #1: $1800RH Morning #2: $1800RH Shofar/Tashlich: $1800YK Kol Nidrei: $720YK Morning: $1800YK Yizkor: $1800YK Afternoon: $720YK Neilah: RESERVED Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% 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 Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page. Should be Empty: This page uses TLS encryption to keep your data secure.
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