Your Info

First Name
Last Name
Address
City
State
Zip Code
Phone
Email

Seat Reservations

Number of Adult Attendees
Number of Children Attendees
Adult Name 1
Child Name 1
Adult Name 2
Child Name 2
Adult Name 3
Child Name 3
Adult Name 4
Child Name 4
High Holiday Services I plan to attend
Please check all that apply.
Rosh Hashanah Eve. | September 9
   
Rosh Hashanah Day 1 | September 10
 
Rosh Hashanah Day 2 | September 11
   
Yom Kippur | September 18 - 19

Payment Info

Services are free of charge however we greatly appreciate donations to help cover our costs. Our funding comes exclusively from our local community.

Optional: In honor of the high Holidays, I would like to make a contribution to Chabad to help support this and other programs in the community.
 $
Checks made payable to Chabad can be mailed to 72-295 Via Marta, Rancho Mirage, CA 92270
Payment Method
Card Number
Expiration
CVV Code
Total Amount to Charge Card