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2025-5786 Gold Form


2025 GOLD FORM 5786
Please complete by September 1st
Accessible Seating

Please only complete this section if you need pre-assigned, accessible seating.
Do you need accessable seating?
Will you require an additional space for a wheelchair or walker?
ONLY ACCESSIBLE SEATING WILL BE PRE-ASSIGNED
SEATS W/PASSES FOR GUESTS ($75/Seat)
How many additional seats would you like to purchase? ($75 per additional ticket)
   Adults
   Children
   Hamburgers
   Hot Dogs
   Veggie Burgers
   Adults
   Children
   Adults
   Children
Yizkor Book
How many names would you like included in the Yizkor book? ($5.00 suggested minimum dontation per name.)
   Standard Etrog & Lulov Set - $38.45
   Prime Etrog & Lulov Set - $43.45
   Deluxe Etrog & Lulov Set - $48.45
Thu, September 4 2025 11 Elul 5785