1. Your Information Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* 2. Rosh Hashana Dinner Reservation Amount Attendees 123456 Select which meals you will be attending Wednesday Dinner 2nd OctThursday Dinner 3rd OctFriday Dinner 4th OctPre-fast Yom Kippur meal 11th Oct Any comments / dietary needs 2. High Holidays Services Reservation Select which services you will be attending Wed 2nd Oct Evening ServiceThurs 3rd Oct Morning ServiceThurs 3rd Oct Evening ServiceFri 4th Oct Morning ServiceFri 11th Oct Yom Kippur Kol NidreiShab 12th Oct Yom Kippur ServiceShab 12th Oct Yom Kippur Neila Service 3. Accommodation Needs Do you need accommodation? Yes - Please book a room for me (approx cost $150/night) Select all days you need accommodation Wednesday 2nd OctThursday 3rd OctFriday 4th OctSaturday 5th Oct I will require financial assistance towards accommodation Yes Please - we will be in touch with you to arrange. 4. 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 brings to our community. Donation amount $36$100$180$540$1800 I would like to be a sponsor for Rosh Hashana Yes! Count me in I would like to sponsor... Rosh Hashana Community Dinner $3600Flights for Chazan and Baal Koreh $540Accommodation subsidy for 1 person $360Rosh Hashana Lunch $180Rosh Hashana dinner $360Accommodation for Chazan and Baal Koreh $1800Yom Kippur post-fast meal $360Flights and accommodation for Chazan and Baal Koreh for Yom Kippur $1000 Total $0.00 Payment Credit Card Paypal Direct Deposit Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Chabad House Launceston087-72855526 3381Billing Address Street Address City State / Province Postal / 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 SaharaYemenZambiaZimbabweOther Country I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.