Suggested donation for non-members of $180 per seat. Please note that no person will be turned away due to inability to pay. Please call the office at 321.777.2770 or email [email protected] to arrange. Full Name* First Name Last Name Phone Number* E-mail* I would like to receive news and updates by email WHO'S ATTENDING ADULTS ATTENDING* Adult 1 First Name Last Name Adult 2 First Name Last Name Adult 3 First Name Last Name Adult 4 First Name Last Name Adult 5 First Name Last Name Adult 6 First Name Last Name CHILDREN ATTENDING Child Name 1 First Name Last Name Child Name 2 First Name Last Name Child Name 3 First Name Last Name Child Name 4 First Name Last Name Child Name 5 First Name Last Name Child Name 6 First Name Last Name SERVICES ATTENDING Please check all that apply. Rosh Hashanah Eve Evening Services (Sept 22)Rosh Hashanah Day 1 Morning Services (Sept 23)Rosh Hashanah Day 1 Shofar & Tashlich @ Pelican Beach. (Sept 23)Rosh Hashanah Day 1 Evening Services (Sept 23)Rosh Hashanah Day 2 Morning Services (Sept 24)Yom Kippur Eve Kol Nidrei Services (Oct 1)Yom Kippur Day Morning Service (Oct 2)Yom Kippur Day Neilah Closing Service (Oct 2)Guest Speaker Part #1 (Oct 1)Guest Speaker Part #2 (Oct 2) DONATION AMOUNT I want to donate $180/seatOther Number of Seats* $180/Seat Other* Help Chabad bring more light to the community with your generous contribution. Suggested donation of $180 per seat. Please note that no person will be turned away due to inability to pay. Please contact the office at 321.777.2770 or email [email protected] to arrange. $54 USD$72 USD$108 USD Additional Sponsorships Help Chabad bring more light to the community with your generous contribution. Suggested donation of $180 per seat. Please note that no person will be turned away due to inability to pay. $180 USD$360 USD$1000 USD$1800 USD$3600 USD$5000 USD Total $0.00 USD Payment* Credit Card Paypal Zelle Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Make payment to [email protected]Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.