High Holidays & Membership Form 5782/2021

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Last Name: 

First Name: 


City:  Prov.  PC: 

Phone:  Email:

My preference for these High Holidays is to attend services:

 Indoors in the Shul         Outdoors in a tent

 I wish to continue receiving emails from OTC, please subscribe me to OTC’s email list


High Holidays Seats & Options

How many High Holidays seats do you require? Men:  Women: 

Children (3-12):  Ages:


Payment Information 

 Please charge my credit card for my OTC membership - $800 per family (includes High Holiday seats). Payment schedule options below.

Please charge my credit card for High Holiday seats - $250 per family

VISA Master Card

Card number:  exp.(mm/yyyy/

Credit Card CVV Number:   

My cheque payable to OTC in the amount of  is in the mail.

I wish to make these membership payments:

Annually, 1 payment of $800:  September 2021

Semi-Annually, 2 payments of $400: September & December 2021

Quarterly, 4 payments of $200: September & December 2021, March & May 2022

My post-dated cheques payable to OTC are in the mail.

Please charge it to my credit card (above)

Please make all cheques payable to: 
Ottawa Torah Centre

and mail to: 
Ottawa Torah Centre 
111 Lamplighters Drive 
Ottawa, ON K2J 0C2

Thank you and looking forward to seeing you 
at 111 Lamplighters Drive

No one will be turned away because of lack of funds. 
Please don't hesitate to call Rabbi Blum (613) 843-7770 x222.

If you have any questions, please don't hesitate to contact us: [email protected]