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Chabad of Markham High Holidays Seats

1. Your Information
Full Name*
First Name Last Name
E-mail*
Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2. Seat Reservations
Seat reservations are at $200 per individual
Number of Adult Attendees*
Number of Child Attendees*
Name of Attendee 1
Name of Child 1
Name of Attendee 2
Name of Child 2
Name of Attendee 3
Name of Child 3
Name of Attendee 4
Name of Child 4
Name of Attendee 5
Name of Child 5
Name of Attendee 6
Name of Child 6
Name of Attendee 7
Name of Child 7
Name of Attendee 8
Name of Child 8
Any comments / seating preferences
If you would like to reserve for more people please contact us.
3. Optional Donation
Participation in all High Holiday programs is free. Consider a donation to help cover the costs of these and other wonderful and vital programs that Chabad Lubavitch of Markham brings to our community.
Donation Amount

$50$100$240$580$800$1000$1800$3200
Total

$0.00
How would you like for us to process your donation?

Please use my payment option on fileI'd like to input my payment option

Payment

Credit Card

We accept Visa, MasterCard
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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