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			<h1 class="article-header__title js-article-title js-page-title">Reservations</h1>
		
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<form class="userform-form" action="" method="post" name="form_3422543" id="3422543" accept-charset="utf-8"><input type="hidden" name="formID" value="3422543" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_31"><div id="cid_31" class="form-input-wide"> <div style="text-align:center;"><img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/891/jLIx8917462.jpg" height="174" width="450" /></div> </div></li><li class="form-line" id="id_44"><div id="cid_44" class="form-input-wide"> <div id="text_44" class="form-html"><p>Celebrate the High Holidays among friends and connect with your inner self. No payment required for a place to pray for the High Holidays. A kippah and prayer book will be provided for you. Services will be interspersed with explanations and page guidance. In short, you will feel at home.</p></div> </div></li><li id="cid_6" class="form-input-wide"> <div class="form-header-group"><h2 id="header_6" class="form-header">1. Your Information</h2></div> </li><li class="form-line" id="id_5"><div class="form-label-top" id="label_5"><label for="input_5"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_fullName5[first]" id="first_5" autocomplete="given-name" />  <label class="form-sub-label" for="first_5" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_fullName5[last]" id="last_5" autocomplete="family-name" />  <label class="form-sub-label" for="last_5" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_8"><div class="form-label-top" id="label_8"><label for="input_8"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q8_phoneNumber8[area]" id="input_8_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_8_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q8_phoneNumber8[phone]" id="input_8_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_8_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-top" id="label_9"><label for="input_9"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input-wide"> <input type="email" class=" form-textbox validate[required, Email]" id="input_9" name="q9_email" size="30" value="" autocomplete="email" /> </div></li><li id="cid_11" class="form-input-wide"> <div class="form-header-group"><h2 id="header_11" class="form-header">2. High Holiday Services Seat Reservation:</h2></div> </li><li class="form-line" id="id_35"><div class="form-label-top" id="label_35"><label for="input_35"> Number of Adult Attendees: </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_35" name="q35_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_36"><div class="form-label-top" id="label_36"><label for="input_36"> umber of Child Attendees: </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_36" name="q36_number36" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_37"><div class="form-label-top" id="label_37"><label for="input_37"> Names of Attendees: </label><label class="label-message" for="input_37"> </label></div><div id="cid_37" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_37" name="q37_input37" size="45" value="" /> </div></li><li id="cid_38" class="form-input-wide"> <div class="form-header-group"><h3 id="header_38" class="form-header">High Holiday Services I plan to attend (Please check all that apply):</h3></div> </li><li class="form-line" id="id_39"><div class="form-label-top" id="label_39"><label for="input_39"> Rosh Hashana Eve. </label><label class="label-message" for="input_39"> Monday, Sep. 22</label></div><div id="cid_39" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_39_0" name="q39_input39[]" value="Evening Services: 7:15 pm" /><label id="label_input_39_0" for="input_39_0"><span>Evening Services: 7:15 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_39_1" name="q39_input39[]" value="Community Dinner (Reservations below)" /><label id="label_input_39_1" for="input_39_1"><span>Community Dinner (Reservations below)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_45"><div id="cid_45" class="form-input-wide"> <div id="text_45" class="form-html"><p><em>To make a Reservation for the Rosh Hashanna Dinner following services   </em><a href="http://www.ChabadPoway.com/Article.asp?AID=5186623"><em>click here</em></a></p></div> </div></li><li class="form-line" id="id_40"><div class="form-label-top" id="label_40"><label for="input_40"> Rosh Hashana Day 1 </label><label class="label-message" for="input_40"> Tuesday. Sep. 23</label></div><div id="cid_40" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_40_0" name="q40_input40[]" value="Morning Services: 10:00 am" /><label id="label_input_40_0" for="input_40_0"><span>Morning Services: 10:00 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_40_1" name="q40_input40[]" value="Evening Services: 6:45 pm" /><label id="label_input_40_1" for="input_40_1"><span>Evening Services: 6:45 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_40_2" name="q40_input40[]" value="Children's Program: 11:30am-12:30pm" /><label id="label_input_40_2" for="input_40_2"><span>Children's Program: 11:30am-12:30pm</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_41"><div class="form-label-top" id="label_41"><label for="input_41"> Rosh Hashana Day 2 </label><label class="label-message" for="input_41"> Wed., Sep. 24</label></div><div id="cid_41" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_41_0" name="q41_input41[]" value="Morning Services: 9:30 am" /><label id="label_input_41_0" for="input_41_0"><span>Morning Services: 9:30 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_41_1" name="q41_input41[]" value="Shofar Sounding: 12:00 pm" /><label id="label_input_41_1" for="input_41_1"><span>Shofar Sounding: 12:00 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_41_2" name="q41_input41[]" value="Evening Services: 6:45 pm" /><label id="label_input_41_2" for="input_41_2"><span>Evening Services: 6:45 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_41_3" name="q41_input41[]" value="Children's Program: 11:30am-12:30pm" /><label id="label_input_41_3" for="input_41_3"><span>Children's Program: 11:30am-12:30pm</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_42"><div class="form-label-top" id="label_42"><label for="input_42"> Yom Kippur </label><label class="label-message" for="input_42"> Wed-Thu, Oct 1-2</label></div><div id="cid_42" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_0" name="q42_input42[]" value="Kol Nidrei Services (Sunday Eve): 6:15 pm" /><label id="label_input_42_0" for="input_42_0"><span>Kol Nidrei Services (Sunday Eve): 6:15 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_1" name="q42_input42[]" value="Morning Services: 9:30 am" /><label id="label_input_42_1" for="input_42_1"><span>Morning Services: 9:30 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_2" name="q42_input42[]" value="Yizkor Memorial Service: 12:00 pm" /><label id="label_input_42_2" for="input_42_2"><span>Yizkor Memorial Service: 12:00 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_3" name="q42_input42[]" value="Afternoon Service: 5:00 pm" /><label id="label_input_42_3" for="input_42_3"><span>Afternoon Service: 5:00 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_4" name="q42_input42[]" value="Neilah Closing Service: 6:00 pm" /><label id="label_input_42_4" for="input_42_4"><span>Neilah Closing Service: 6:00 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_5" name="q42_input42[]" value="Break-fast following Neilah" /><label id="label_input_42_5" for="input_42_5"><span>Break-fast following Neilah</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_6" name="q42_input42[]" value="Childrens Programs for both Kol Nodrie and Yom Kippur Day" /><label id="label_input_42_6" for="input_42_6"><span>Childrens Programs for both Kol Nodrie and Yom Kippur Day</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_27" class="form-input-wide"> <div class="form-header-group"><h2 id="header_27" class="form-header">3. High Holiday Optional Donation:</h2><div id="subHeader_27" class="form-subHeader">THERE IS NO CHARGE FOR SEATS!While worldwide Chabad Lubavitch is globally bound in its beliefs and aspirations, each center is an independent entity and financially self-supporting. Every penny we receive comes from people in this community and goes directly to operating budget for Chabad's activities in our community. Your contribution will allow us to continue providing educational programs for young and old.</div></div> </li><li class="form-line" id="id_43"><div class="form-label-top" id="label_43"><label for="input_43"> Please select your donation: </label><label class="label-message" for="input_43"> </label></div><div id="cid_43" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_0" name="q43_input43[]" value="$5,000 - High Holidays Diamond Sponsor" /><label id="label_input_43_0" for="input_43_0"><span>$5,000 - High Holidays Diamond Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_1" name="q43_input43[]" value="$1,800 - High Holidays Gold Sponsor" /><label id="label_input_43_1" for="input_43_1"><span>$1,800 - High Holidays Gold Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_2" name="q43_input43[]" value="$1,000 High Holidays Silver Sponsor" /><label id="label_input_43_2" for="input_43_2"><span>$1,000 High Holidays Silver Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_3" name="q43_input43[]" value="$540 - High Holidays Security Sponsor" /><label id="label_input_43_3" for="input_43_3"><span>$540 - High Holidays Security Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_4" name="q43_input43[]" value="$360 - Kiddush Sponsor" /><label id="label_input_43_4" for="input_43_4"><span>$360 - Kiddush Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_5" name="q43_input43[]" value="$180 Break-Fast Co-Sponsor" /><label id="label_input_43_5" for="input_43_5"><span>$180 Break-Fast Co-Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_43_6" name="q43_input43[]" value="$100 - Tallit (Prayer Shawls) Sponsor" /><label id="label_input_43_6" for="input_43_6"><span>$100 - Tallit (Prayer Shawls) Sponsor</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[other]" name="q43_input43[other]" id="other_43" value="" /><span><input type="text" class="form-checkbox-other-input form-textbox form-checkbox validate[other]" name="q43_input43[other][text]" data-otherhint="Other" size="15" id="input_43" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_32"><div class="form-label-top" id="label_32"><label for="input_32"> Total </label></div><div id="cid_32" class="form-input-wide"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_30"><div class="form-label-top" id="label_30"><label for="input_30"> Payment </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input-wide"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"></td></tr><tr class="credit_card "><th colspan="2">Credit Card</th></tr><tr class="credit_card "><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q30_payment30[cc_type]" id="input_30_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q30_payment30[cc_number]" id="input_30_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_30_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q30_payment30[cc_ccv]" id="input_30_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_30_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q30_payment30[cc_nameOnCard]" id="input_30_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_30_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q30_payment30[cc_exp_month]" id="input_30_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_30_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q30_payment30[cc_exp_year]" id="input_30_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_30_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="billing_address "><th colspan="2">Billing Address</th></tr><tr class="billing_address "><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q30_payment30[addr_line1]" id="input_30_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_30_addr_line1" id="sublabel_30_addr_line1">Street Address</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q30_payment30[city]" id="input_30_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_30_city" id="sublabel_30_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q30_payment30[state]" id="input_30_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_30_state" id="sublabel_30_state">State / Province</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q30_payment30[postal]" id="input_30_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_30_postal" id="sublabel_30_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q30_payment30[country]" id="input_30_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech 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