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americanuniversityhillel

STUDENT TICKET REQUEST FORM


HIGH HOLIDAY SERVICES 2011/5772
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Ticket Information:

I will be attending (please circle): Conservative Services

Reform Services

I will be here for (please circle): Rosh Hashanah

Yom Kippur

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Contact Information:

Name: ___________________________________________________
I am (circle one):
Class of (circle one):

Undergrad
2012

Grad
2013

2014

Law

PhD

2015

SCHOOL ADDRESS

Dorm, Apt, Etc: ____________________________________________


Street: ___________________________________________________
City, State ZIP: ____________________________________________
Email: ___________________________________________________
HOME ADDRESS

Parents Names: ____________________________________________


Street: ___________________________________________________
City, State ZIP: ____________________________________________
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Participation Information:

(Name) _________________would like to participate in services in the following way:


___Chant/read Torah
___Chant Haftarah
____Do English reading
___Blow Shofar
___Have an aliyah
____Lift Torah/Tie Torah
___Lead a service
Please read the names of deceased loved ones (parents, siblings, children, spouse only) at the Yizkor memorial service on
Yom Kippur: _________________________________
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Contribution Information:

Hillel at American University is proud to offer services free for students. Ticket request forms can be returned to the
Hillel offices in the basement of the Kay Spiritual Life Center.
We request that non-students make a donation to Hillel (requested minimum $150person, $300/family). We welcome all
guests regardless of their financial contribution. Please make checks payable to AU Hillel.

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