High Holiday Form

High Holiday Form
Update Your Information for our Directory!
Name

First NameLast Name
Hebrew Name
Cell Number

Area CodePhone Number
Email
example@example.com
Spouse Name

First NameLast Name
Spouse Hebrew Name
Spouse Number

Area CodePhone Number
Spouse Email
example@example.com
Children Hebrew Name and age
Children Hebrew Name and age

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number

Area CodePhone Number
Emergency Contact Name and Phone number
Area CodePhone Number
Host an Oneg /Kiddush

You will receive a reminder at least one month ahead of your date.
I would like to hose an Oneg/Kiddush on Friday /Saturday:
In honor/memory of: Last Name
Refuah Shleima: We Pray for Healing
Include the following name/s on the weekly Refuah Sheima list.
Print the name/s as you wish it/them to appear on the numbered lines below:
First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
Yizkor: Remembrances

___Include the following name/s in alphabetical sections of the Yizkor Book:
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
For a photo, please send a high resolution JPG or PNG file to: cbsmodesto@sbcglobal.net
Special Remembrance: Print the name/s as you wish it/them to appear on the numbered lines below:
First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
Remembered by:

First NameLast Name
Summary of Donations
High Holiday (non-member)
Guest Seating
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
$200 x # of people Total Amount:
Reserved Seats
Preferred location:
$54 Each Total Amount:
Erev Rosh HaShanah Dinner
Fish (how many)
Brisket (how many)
Vegetarian (how many)
$36 Adults Total Amount:
$15 Children (under 13) Total Amount:
Rosh HaShanah Card
Name to appear on card:

First NameLast Name
Name to appear on card:

First NameLast Name
Name to appear on card:

First NameLast Name
$36 per name Total Amount:
Sukkot HebrewFest
Hot Dogs (how many)
Vegetarian (how many)
$20 per Adult
$12 Children (under 13)
Total Amount:
Lulav & Etrog
$40 each (how many)
Total Amount:
Electronic Yizkor Book
Individual Name

First NameLast Name
Individual Name

First NameLast Name
Family Name

First NameLast Name
Family Name

First NameLast Name
For a photo, please send a high resolution JPG or PNG file to: cbsmodesto@sbcglobal.net
Please include in subject line of email "Photo for Yizkor Book"
Individual Name $36 per name Total Amount:
Family Name/s $108 per name Total Amount:
Photograph $36 per photo Total Amount:
Additional High Holiday Donation
Donation Total Amount:
High Holiday Total Amount
Total High Holiday Package Amount:
Should be Empty:

High Holiday Form

Update Your Information for our Directory!

Host an Oneg /Kiddush

Refuah Shleima: We Pray for Healing

Yizkor: Remembrances

Summary of Donations

Reserved Seats

Erev Rosh HaShanah Dinner

Rosh HaShanah Card

Sukkot HebrewFest

Lulav & Etrog

Electronic Yizkor Book

Additional High Holiday Donation

High Holiday Total Amount