For Office Use Only

SECTION ROW SEAT(S)

______ ______ ______
Congregation Mishkon Tephilo 5775/2014
The Conservative Synagogue by the Sea 206 Main Street Office: 201 Hampton Drive Venice CA 90291
310 392-3029 Fax: 310 392-0420 www.mishkon.org
_______________________________________________________________________________________

HI GH HOLY DAYS SEAT RESERVATI ON FORM
MEMBER NON-MEMBER WANT TO BECOME MEMBER**
Name(s) ___________________________________________________________________________________________________________________________________
Address ___________________________________ ___________________________________________ City/Zip ____________________________________________
Home Phone ( ) __________________________________ Work Phone ( ) ________________________________ Extension _________________
Cell Phone ( ) _______________________________ E-mail _______________________________________________________________________________


Why do we need to charge for Tickets? We charge for High Holy Days seats to cover expenses for services. We hold more than 125 services a year
for Shabbat and Jewish Holy Days. Everyone is welcome to all services, and, except for Rosh Hashanah and Yom Kippur, you may have any seat you
wish at no charge. Mishkon will not turn away anyone from services for financial reasons. Your support insures our future!

How did you hear about the Mishkon Tephilo High Holy Days?
Im a Mishkon member Im a future Mishkon member Relative or Friend of Mishkon Member
Saw Ad in: Argonaut Other Main Street Banner Other ____________________________

Mishkon Members receive preference for seating. Non-members are assigned seats after members and their guests.
Please register EARLY. We cannot guarantee your seating choice. PLEASE RETURN RESERVATI ONS BY AUGUST 25.


Section Row Seat #(s)

Ark & Bima .

CHOICE

Left-Center-Right

1 to 31
L or R - 1 to 6
Center 1 to 10



Row 1

Seat #
6 5 4 3 2 1

LEFT
Section

28 Rows

Row 1

Seat #
10 9 8 7 6 5 4 3 2 1

CENTER
Section

31 Rows

Row 1

Seat #
1 2 3 4 5 6

RIGHT
Section

32 Rows
Same as
Last Year:




First
Choice:

__________

_____

_________

Second
Choice:

__________

_____

_________



MAI N STREET ENTRANCE

Circle One Account # ____________________________________________________________________________________
Expiration Date _____ _____ Security Code _______ Name on Card _________________________________________________________________
Amount $ ___________ Billing Address __________________________________ Zip __________ Signature _________________________________
Please send form (with check if applicable) to: MISHKON TEPHILO, 201 Hampton Drive, Venice, CA 90291

HIGH HOLY DAYS SEAT RESERVATIONS

HOW MANY?
By
August 25
After
August 25

TOTAL

Member Adult Seats (1 per Single, 2 per Family, 4 per Honor Level)


included in Dues

-0-

Member Child Seats (up to age 25 Child care NOT included)


$95

$115


Members Guest Seats (any age)


$165

$195


NON-Member Adult Seats (Ages 13 and Up)


$220

$240


NON-Member Child Seats (up to age 12 does NOT include Child care, but
purchase DOES include Junior Congregation)


$55

$65


Please indicate seat preferences and provide names and addresses
of additional seat holders on the reverse of this page.


TOTAL:

$