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At Chabad of Irvine

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High Holidays Seats

Full Name*
First Name Last Name
E-mail*
Phone Number*
We are current members:*

YesNo
We will be attending Rosh Hashanah Services:*

YesNo
We will be attending Yom Kippur Services:*

YesNo
Adult 1:*
First Name Last Name
Seating:*

MenWomen
Adult 2:
First Name Last Name
Seating:

MenWomen
Click here to buy additional seats.
Number of additional seats for Rosh Hashanah:*
Number of seats for Rosh Hashanah:*
Number of additional seats for Yom Kippur*
Number of seats for Yom Kippur*
Full Name*
First Name Last Name
Seating:*

MenWomen
Full Name*
First Name Last Name
Seating:*

MenWomen
Full Name*
First Name Last Name
Seating:*

MenWomen
Full Name*
First Name Last Name
Seating:*

MenWomen
Total

$0.00

Payment

Credit Card

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

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