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2023 Non-Member High Holy Day Reservation

* Name

Total Number of Adults in my party

Additional Adult Names

For security purposes, please provide the names of all adults.

* Address

Phone

* Email

* Service Fee

	One Adult	$180.00
	Two or More Adults	$270.00

Additional Support $

I'd like to provide additional financial support to Temple Kol Tikvah

*E-mail

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: