High Holidays Reciprocity Form

Is this for an incoming or outgoing reciprocity?(Required)

Incoming (Member of another community attending services at Temple Emanuel)

Outgoing (Member of Temple Emanuel attending services at another community)

Synagogue Information

From:

Name of Congregation(Required)

Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Fax(Required)

Email(Required)

Executive Director or other Agent of Congregation(Required)

To:

Name of Congregation

Street Address

Street Address Address Line 2 City State ZIP Code

Phone

Fax

Executive Director or other Agent of Congregation

From:

Name of Congregation

Street Address

Street Address Address Line 2 City State ZIP Code

Phone

Fax

Executive Director or other Agent of Congregation

To:

Name of Congregation(Required)

Congregation Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Congregation Phone(Required)

Congregation Fax

Congregation Email(Required)

Executive Director or other Agent of Congregation(Required)

Member / Visitor Information

Member Name(s)(Required)

is/are member(s) of the congregation in good standing.

Visitor name(s)(Required)

The visitor(s) well be the guest(s) of the member listed above. We would be grateful if you would extend to him/her/them the courtesy of High Holiday seating at your synagogue.

Seat Fees(Required)

High Holy Day seats are included in our congregational membership fee, which they are paying to us.

High Holy Day seats are not included in our congregational membership fee, but they are paying both the membership fee and a seat fee to us.

High Holy Day seats are not included in our congregational membership fee. They are paying our membership fee but not our seat fee. If you have seat fees, they therefore understand that you may request that they pay your seat fee.

Number of Reciprocity Tickets Requested(Required)

Member Contact Information:

Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

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High Holidays Reciprocity Form

Synagogue Information

From:

To:

From:

To:

Member / Visitor Information

Member Contact Information:

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