Name *

First Name

Last Name

Phone

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I Plan to attend Kol Nidre services Friday October 12 in the Birenbaum (under the Hotel at Oberlin)6:15pm

Yes

No

I Plan to attend Yom Kippur Morning Services -Saturday October 12 - at the Birenbaum (under the Hotel at Oberlin 10:30am

Yes

No

I Plan to attend Yom Kippur Mincha Services -Saturday October 12 - at the Birenbaum (under the Hotel at Oberlin 6pm

Yes

No

I Plan to attend Yom Kippur Neilah Services -Saturday October 12 - at the Birenbaum (under the Hotel at Oberlin 7:00pm

Yes

No

I Plan to attend Yom Kippur Breakfast -Saturday October 12 - at the Birenbaum (under the Hotel at Oberlin 7:30pm

Yes

No

Home address (not Oberlin)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country