non-member high holiday ticket request form

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NON-MEMBER HIGH HOLIDAY TICKET REQUEST FORM Forms can also be filled out online at asbi.org/holidays. Please fill out the entire form to request tickets for the High Holidays at Anshe Sholom B'nai Israel. Tickets are available for services in our Main Sanctuary or downstairs in our Social Hall. All non-member tickets are for open (unassigned) seating. Please provide a name for each person for whom you are requesting a ticket. Your form can be returned by email, fax, or mail. Payment MUST be submitted with your ticket request form; please make checks payable to ASBI. YOUR INFORMATION Your Name: Address where tickets should be mailed: Street: City, State ZIP: Your Email: Your Phone Number:

YOUR TICKET REQUEST

MAIN SANTUARY - OPEN SEATING # of tickets for women

Names (REQUIRED)

# of tickets for men

Names (REQUIRED)

SOCIAL HALL - OPEN SEATING # of tickets for women

Names (REQUIRED)

# of tickets for men

Names (REQUIRED)

ADDITIONAL INFORMATION Whose tickets, if any, are for ROSH HASHANAH ONLY? Whose tickets, if any, are for YOM KIPPUR ONLY?

TICKET COSTS

Per Person*: $440

Per Student*: $72

*Please note that if you are attending for ONLY Rosh Hashanah OR Yom Kippur you may pay half of this rate.

If you are a member in good standing at another shul, we can offer reciprocal tickets free of charge. Please contact [email protected] .

If you are unable to pay the standard ticket price, please briefly explain your situation below and note the price per person that you are able to pay. ASBI is committed to being open and accessible to everyone regardless of financial circumstances.

540 West Melrose Street, Chicago, IL 60657

[email protected]

Fax: 773-248-5001