Advance Reservation / Purchase Form

2017 HIGH HOLIDAY TICKETS

ADVANCE RESERVATION / PURCHASE FORM

Erev Rosh Hashana, Wednesday September 20, 2017 and Erev Yom Kippur, Friday September 29, 2016

Members: please use this form to RESERVE the number of HH tickets needed for your family this

year and to PURCHASE non-member tickets for your guests

Please E-MAIL or FAX BACK this Order Form to 705-792-3982 or call the office 705-792-3949

All Tickets reserved/purchased by members will be mailed out September 1st.

Those reserved/purchased after September 1st will be available for pick up at the door.

TICKET PRICES - NO CHARGE FOR MEMBERS

Non-Member GUEST tickets:

Adult: $180/person Children: $90.00/child

Child: includes dependent children in full-time attendance in College or University

# OF MEMBER TICKETS TO BE RESERVED - FAMILY NAME:______

TOTAL # ADULT _____ TOTAL # CHILDREN ______

First Name: ______Adult ( ) or Child ( )

# OF NON-MEMBER GUEST TICKETS TO BE PURCHASED

TOTAL $ ADULT @ $180.00 EACH = $______TOTAL $ CHILD @ $90.00 EACH = $______

Guest Full Name: ______Adult ( ) or Child ( ) $ ______

Guest Full Name: ______Adult ( ) or Child ( ) $______

Guest Full Name: ______Adult ( ) or Child ( ) $ ______

Guest Full Name: ______Adult ( ) or Child ( ) $______

TOTAL AMOUNT TO BE PROCESSED: $______

METHOD OF PAYMENT PLEASE CHECK ONE:

( ) Member Credit Card ( ) Guest Credit Card - if guest credit card pls. provide:

Phone number ______Order Date: ______

Please charge my Credit Card # ______Expiry ____/_____

Name on card (please print) ______

Signature ______

Address to mail tickets to:______

______

If you would like to sponsor Rosh Hashanah Kiddish and / or the Breaking of the Fast,

please indicate below the amount you would like to offer. (You will receive a tax receipt)

Name: ______

Amount:______