High Holy
Days Seating Request & Membership
Dues Form
Please
fill in the
red
parts of form below and then click the
"Submit"
button below. Also
please remit to the Shul office a check
for the amount shown at the very bottom,
which includes any previous balance, your first
dues payment for the 2011-2012 year and if
you are purchasing seats, the cost for the
seats. You are expected to fill out
the form and then click the
"Submit" button
below whether or not you purchase
seats.
First name:
Last name:
Your email:
phone:
(For an adjustment please check here:
We will contact you as soon as
possible.)
Choose Number
of
Payments
Choose MEMBERSHIP CATEGORY
ANNUAL
DUES
FAMILY MEMBER
$1,600
SINGLE MEMBER
$800
Payment
Due Dates
FIRST YEAR MEMBER
$800
FRIEND OF THE SHUL (Local)
(There are no membership privileges in
this category)
$800
FRIEND OF THE SHUL (non-Local)
(There are no membership privileges in
this category)
$400
NO
MEMBERSHIP (High Holiday seats
only)
$0
AMOUNT DUE ON
EACH DUE DATE
High Holiday Seating Request Form
(2011-2012) No seats will be issued unless previous
balance is paid in full, and the first dues
installment and full payment for the seats
is received by the shul office. Last
years seats will be held for members until
Friday September 2, 2011.
At that time,
all remaining seats will be available on a
first-come first-serve basis.
Notes:
1.
Click on a Section below for detailed map popup.
2. After clicking, you can adjust
zoom magnification level as needed by
clicking inside the resulting detailed map popup
illustration.
Spreadsheet of last
year's seating assignments Please enter your
Last name:
Name
Section Row Seats
I
(we) would like the same seats as last year.(Go
to Step #4)
I
(we) require more seats this
year.
I
(we) require fewer seats this
year.
How
many more?
(Please specify seat location in
Comments box below,
then go to Step #4)
How
many seats total?
How
many fewer?
(Please specify seat location in
Comments box below
then go to Step #4)
How
many seats total?
I (we) would
like to be seated elsewhere this year.
(Please specify seat location in
Comments box below
then go to Step #4)
Yes:
No:
Seating requests, Suggestions, Comments,
etc:
(To be completed
regardless
of Step #3 selection,
even if seats are not required)