HHD RESERVATION FORM - Congregation Mkor Hayim

Adult 1 first name*
Adult 1 last name*
Adult 1 Email*
Phone Number

Best number to reach you in case of technical problems
Adult 2 full name
Adult 2 Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Rosh Hashanah Attendance Preference (Choose One)*
- In Person
- Zoom
- Not Attending
Donation for Rosh Hashanah evening and morning
Yom Kippur Attendance Preference (Choose One)*
- In Person
- Zoom
- Not Attending
Donation for Yom Kippur evening and day
Total donation
$0.00