High Holiday 5782

* Email

* Last Name

* First Name

Address (for non members only)

Zip

* Are you a member of the White Shul?

Please Select OneYesNo

Please select the number of seats you want from the drop down below.

Adult total seats @ $100/ seat

Adult total seats @ $140/ seat

Total Children under age 18 @ $40 / seat

Total Children under age 18 @ $65 / seat

Enter the name and select the location for each seat you are requesting.

Please select from the following

	Name	Location	When	Requests	Notes

If you choose to daven in the main shul, please indicate if you would like to sit a mask mandatory section

Please let us know if there are any special requests:

By clicking this box, you are making a voluntary additional contribution of $25 per family to cover the increased cost of safety and security.

Total Due:

Sat, July 12 2025 16 Tammuz 5785

***** OUR EMERGENCY PHONE NUMBER IS (718) 327-0500 X7*****

728 Empire Avenue, Far Rockaway, NY 11691 ~ (718) 327-0500 ~ Fax: (718) 327-7415