High Holy Days Ticket Reciprocity Request Form 2013
When space allows, Central members in good standing who are travelling out of New York City during the High Holy Days are welcomed at other URJ congregations. If you want to attend High Holy Day services at another URJ temple, please complete this form. We will forward it as a request to the designated congregation.

THIS FORM IS FOR CENTRAL MEMBERS ONLY.

IF  YOU WANT TO REQUEST RECIPROCITY TICKETS AT CENTRAL, YOUR SYNAGOGUE MUST SUBMIT A FORM ON YOUR BEHALF.
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Reciprocity Request
Request will be sent by Diana Khodjamirian, Member Information Coordinator
Date of request
MM
/
DD
/
YYYY
The following Central family *
Street Address *
Address Line 2
City *
State/Region/Province *
Postal/Zip Code *
Country
Phone Number *
xxx-xxx-xxxx
Email *
Names of the Individuals for whom seating is being requested *
name 1, name 2...
Please specify which of the following services  you are requesting seating for *
Required
Name of desired congregation *
Telephone Number *
xxx-xxx-xxxx
Fax number if available
Street Address
Address Line 2
City
State/Province/Region
Postal/Zip Code
Country
Specify if there is a particular congregant or congregants with whom you wish to be seated
Submit
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