1. Your InformationFull Name*First NameLast NamePhone Number*Area CodePhone NumberE-mail*I would like to receive news and updates by emailHow Did You Hear About Our Services?*FacebookPhone/TxtEmailOther2. Who's AttendingSuggested donation $75 per adult seat. | NO one will be sent away for lack of funds.Number of MenNumber of WomenNumber of Childrenat Childrens Service OnlyAdditional Donation$3. Services AttendingRosh Hashana day 1 - Monday, Sep 26Rosh Hashanah Prayer Services 10 amChildren's Service 11:30amTashlich service and shofar blowing at the Bay 6pmRosh Hashana day 2 - Tuesday, Sep 27Rosh Hashanah Prayer Services 10 amChildren's Service 11:30amYOM KIPPUR EVE - Tuesday, Oct 4Kol Nidrei / Evening Services 6:45 - 8:00pmYOM KIPPUR DAY - Wednesday, Oct 5Yom Kippur Prayer Services 10 amChildren’s program 11:30amYIZKOR 12:30 pmCteen & Cteen Jr. Inspirational class 2-3pmFinal Prayer Service 5:30pmYizkor on My BehalfI will not attend services, please have the rabbi say yizkor on my behalfNames of Loved Ones4. Sponsorship AppreciatedDue to the current pandemic, Chabad of Manhattan Beach needs your help. There have been so many financial issues beyond our control. Despite the challenges, we are on FULL throttle and remain strong as a Jewish outpost. Consider an additional donation in honor of the High Holidays to help us cover full costs during this difficult time. Thank you for your support!Sponsorship$100$180$500$1000$1800$2500$3600$5000$100005. PaymentTotal$0.00PaymentCredit Card Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / 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 SaharaYemenZambiaZimbabweOtherCountryWaiver*By submitting this form you are agreeing to waive any liability whatsoever to Neshama / Chabad of Manhattan Beach and or Rabbi Winner, if - G‑d forbid - I or anyone that is part of this registration contracts Coronavirus by attending the Services.SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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