High Holy Day/Yom Kippur Seat Request 2019

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Beth Am 2019 High Holy Day Seat Request Form
Beth Am ♦ Interim Office ♦ 2701 North Charles Street, Suite 402 ♦ Baltimore, MD 21218

Yom Kippur
Kol Nidre: Tuesday, October 8, 2019
Wednesday, October 9, 2019

SECTION A - LIST ADULTS WHO ARE MEMBERS.
EACH IS ENTITLED TO A SEAT.

Enter the number of members?

* Last Name (1)

* First Name (1)

Last Name (2)

First Name (2)

* Address

* City

* State

* Zip

Home Phone

Cell Phone (1)

Cell Phone (2)

Email(1)

Email(2)

Ticket amount for 1 member

Ticket amount for 2 members

SECTION B - DEPENDENT CHILDREN UP TO AGE 25

Sanctuary Seating With Parents

Name

Age

Name

Age

Name

Age

Name

Age

Total number of tickets for Sanctuary with Parents

Enter the number of Camp Tekiah

Name

Age

Name

Age

Name

Age

Name

Age

Enter the number of Childcare

Name

Age

Name

Age

Name

Age

Name

Age

SECTION C - EXTRA TICKETS FOR RELATIVES, GUESTS AND CHILDREN OVER AGE 26
NO CHARGE FOR RECIPROCITY; PLEASE OBTAIN LETTER FROM HOME SYNAGOGUE

SEATING SUBJECT TO HIGH HOLY DAY SEATING POLICIES AND AVAILABILITY MUST BE COMPLETED IN FULL

PLEASE INDICATE EXTRA SEATING CHOICE AND TOTAL PRICE IN THE APPROPRIATE BOX (NO CHARGE FOR RECIPROCAL SEATS)

How many extra tickets

1.Name

Age

Relationship

Street

City

State

Zip

2.Name

Age

Relationship

Street

City

State

Zip

3.Name

Age

Relationship

Street

City

State

Zip

4.Name

Age

Relationship

Street

City

State

Zip

5.Name

Age

Relationship

Street

City

State

Zip

Sanctuary Seating

SECTION D - METHOD OF PAYMENT

SUMMARY OF CHARGES FROM SECTIONS A,B, AND C

Thu, April 25 2024 17 Nisan 5784