NAME(S)_______________________________________________________________________________________ ADDRESS___________________________________________________________ ZIP_______________________ PHONE______________________________________ E-MAIL __________________________________________ PLEASE INDICATE NUMBER OF SEATS NEEDED IN APPROPRIATE BOXES Full Member Seats
***There are a limited number of temporary seats available in the men’s section. These will be sold on a first come, first serve basis.
Do you want to sit in the same seats as last year? □YES Seat__________________ __________________________
□NO
If you wish to change seats, please be as specific as possible as to location or who you would like to sit near. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
BOOK OF LIFE YIZKOR BOOK During the Yizkor service, one pledges an offering to charity in the name of the deceased who is being remembered. BJSZ will once again be publishing a Yizkor Book, in which names of family and relatives that have passed away may be listed. The BJSZ Book of Life will be used on all Yom Tovim during the upcoming year, when Yizkor is recited. Please fill out the form below with the names of those friends and relatives you wish to include in the Yizkor Book. Please indicate which size & print text and names clearly □ Full Page: ($180) □ Half Page: ($100) □ Quarter Page: ($60) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
□ Individual Names: ($36) for first two names - Each Additional Name: (add $10) _________________________________ _________________________________ _________________________________
BABYSITTING FOR ALL THREE DAYS OF THE YOMIM NORAIM: Babysitting on Rosh Hashana and Yom Kippur will be available for an additional fee for those who have registered and paid in advance. Each Child $35
Family maximum $75
Please register the following children for babysitting: Name: _____________________ Age ___ Name: _____________________ Age ___
Name: _____________________ Age ___ Name: _____________________ Age ___
LULAV AND ESROG Would you like to order a Lulav & Esrog set ?
□Yes □ No
How many sets? ____
*We’ll notify you when the Lulav & Esrog Sale will take place. You can make your payment when you’ve selected your set(s) at the Lulav & Esrog sale.
TOTAL FOR SEATS BOOK OF LIFE BABYSITTING TOTAL AMOUNT DUE