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form[id="3663259"] .form-all li:first-child {
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background-repeat: no-repeat !important;
background-attachment: fixed !important;
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body .site_title, body.cco_body .site_title{
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form[name='form_4290248'] .form-submit-button {
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div#donate-wrapper::after {
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}
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	RH YK Services - Chabad Jewish Center of Puerto Rico
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<h1>Chabad Jewish Center of Puerto Rico</h1>
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<b>Rosh Hashana:</b>  Sept. 22 - 24</span><br/>
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<b>Yom Kippur:</b>  Oct. 1 - 2</span></h2>
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for="input_3"> E-mail </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_3" name="q3_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> Phone Number </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q5_phoneNumber[area]" id="input_5_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_5_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q5_phoneNumber[phone]" id="input_5_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_5_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li id="cid_15" class="form-input-wide"> <div class="form-header-group"><h2 id="header_15" class="form-header">Reservation Info</h2></div> </li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Number of People in Your Party<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_16" name="q16_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> List all names: </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <textarea id="input_17" class="form-textarea" name="q17_input17" cols="40" rows="6"></textarea> </div></li><li id="cid_6" class="form-input-wide"> <div class="form-header-group"><h2 id="header_6" class="form-header">Service Options</h2><div id="subHeader_6" class="form-subHeader">Please check off which services you plan to attend so we can reserve your spot.</div></div> </li><li class="form-line" id="id_49"><div class="form-label-left" id="label_49"><label for="input_49"> Monday, Sept 22 </label><label class="label-message" for="input_49"> Rosh Hashanah Eve</label></div><div id="cid_49" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_49_0" name="q49_input49[]" value="6:05 pm - Evening Services" /><label id="label_input_49_0" for="input_49_0"><span>6:05 pm - Evening Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_49_1" name="q49_input49[]" value="7:15 pm - Community Holiday Dinner" /><label id="label_input_49_1" for="input_49_1"><span>7:15 pm - Community Holiday Dinner</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Tuesday, Sept 23 </label><label class="label-message" for="input_20"> Rosh Hashanah Day 1</label></div><div id="cid_20" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_0" name="q20_input20[]" value="9:00 am - Morning Services" /><label id="label_input_20_0" for="input_20_0"><span>9:00 am - Morning Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_1" name="q20_input20[]" value="10:30 am - Shofar Sounding" /><label id="label_input_20_1" for="input_20_1"><span>10:30 am - Shofar Sounding</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_2" name="q20_input20[]" value="10:45 am - Children’s Program" /><label id="label_input_20_2" for="input_20_2"><span>10:45 am - Children’s Program</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_3" name="q20_input20[]" value="12:30 pm - Communal Lunch Following Services" /><label id="label_input_20_3" for="input_20_3"><span>12:30 pm - Communal Lunch Following Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_4" name="q20_input20[]" value="1:00 pm - Tashlich stroll to the Ocean" /><label id="label_input_20_4" for="input_20_4"><span>1:00 pm - Tashlich stroll to the Ocean</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_5" name="q20_input20[]" value="6:05 pm - Evening Services" /><label id="label_input_20_5" for="input_20_5"><span>6:05 pm - Evening Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_20_6" name="q20_input20[]" value="7:15 pm - Evening Holiday Dinner" /><label id="label_input_20_6" for="input_20_6"><span>7:15 pm - Evening Holiday Dinner</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_22"><div class="form-label-left" id="label_22"><label for="input_22"> Wednesday, Sept. 24 </label><label class="label-message" for="input_22"> Rosh Hashanah Day 2</label></div><div id="cid_22" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_0" name="q22_input22[]" value="9:00 am - Morning Services" /><label id="label_input_22_0" for="input_22_0"><span>9:00 am - Morning Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_1" name="q22_input22[]" value="10:30 am - Shofar Sounding" /><label id="label_input_22_1" for="input_22_1"><span>10:30 am - Shofar Sounding</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_2" name="q22_input22[]" value="10:45 am - Children’s Program" /><label id="label_input_22_2" for="input_22_2"><span>10:45 am - Children’s Program</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_3" name="q22_input22[]" value="12:30 pm - Communal Lunch" /><label id="label_input_22_3" for="input_22_3"><span>12:30 pm - Communal Lunch</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_4" name="q22_input22[]" value="6:00 pm - Evening Services" /><label id="label_input_22_4" for="input_22_4"><span>6:00 pm - Evening Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_22_5" name="q22_input22[]" value="6:51 pm - Evening Services &amp; Havdalah" /><label id="label_input_22_5" for="input_22_5"><span>6:51 pm - Evening Services &amp; Havdalah</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_52"><div class="form-label-left" id="label_52"><label for="input_52"> Saturday, Oct. 5 </label><label class="label-message" for="input_52"> Shabbat Shuvah</label></div><div id="cid_52" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_52_0" name="q52_input52[]" value="9:00 am - Morning Services" /><label id="label_input_52_0" for="input_52_0"><span>9:00 am - Morning Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_52_1" name="q52_input52[]" value="10:45 am - Children’s Program" /><label id="label_input_52_1" for="input_52_1"><span>10:45 am - Children’s Program</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_52_2" name="q52_input52[]" value="11:30 pm - Communal Lunch" /><label id="label_input_52_2" for="input_52_2"><span>11:30 pm - Communal Lunch</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_52_3" name="q52_input52[]" value="5:55 pm - Afternoon Services" /><label id="label_input_52_3" for="input_52_3"><span>5:55 pm - Afternoon Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_52_4" name="q52_input52[]" value="6:41 pm - Evening Services &amp; Havdalah" /><label id="label_input_52_4" for="input_52_4"><span>6:41 pm - Evening Services &amp; Havdalah</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Wednesday, Oct. 1 </label><label class="label-message" for="input_32"> Yom Kippur Eve</label></div><div id="cid_32" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_32_0" name="q32_input32[]" value="6:00 pm - Kol Nidrei" /><label id="label_input_32_0" for="input_32_0"><span>6:00 pm - Kol Nidrei</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_32_1" name="q32_input32[]" value="6:00 pm - 7:00 pm - Childrens Program" /><label id="label_input_32_1" for="input_32_1"><span>6:00 pm - 7:00 pm - Childrens Program</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Thursday, Oct 2 </label><label class="label-message" for="input_33"> Yom Kippur Day</label></div><div id="cid_33" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_0" name="q33_input33[]" value="9:00 am - Morning Services" /><label id="label_input_33_0" for="input_33_0"><span>9:00 am - Morning Services</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_1" name="q33_input33[]" value="11:00 am - Yizkor Memorial Service" /><label id="label_input_33_1" for="input_33_1"><span>11:00 am - Yizkor Memorial Service</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_2" name="q33_input33[]" value="10:45 am - Childrens Program" /><label id="label_input_33_2" for="input_33_2"><span>10:45 am - Childrens Program</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_3" name="q33_input33[]" value="5:10 pm - Afternoon Service" /><label id="label_input_33_3" for="input_33_3"><span>5:10 pm - Afternoon Service</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_4" name="q33_input33[]" value="6:00 pm -  Neilah Service" /><label id="label_input_33_4" for="input_33_4"><span>6:00 pm -  Neilah Service</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_33_5" name="q33_input33[]" value="6:44 pm - Shofar Sounding (Followed by delicious Break-Fast)" /><label id="label_input_33_5" for="input_33_5"><span>6:44 pm - Shofar Sounding (Followed by delicious Break-Fast)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Additional Notes: </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <textarea id="input_14" class="form-textarea" name="q14_input14" cols="40" rows="6"></textarea> </div></li><li id="cid_24" class="form-input-wide"> <div class="form-header-group"><h2 id="header_24" class="form-header">Meal Options</h2></div> </li><li class="form-line" id="id_34"><div class="form-label-left" id="label_34"><label for="input_34"> Choose one </label><label class="label-message" for="input_34"> Choose one to see meal options</label></div><div id="cid_34" class="form-input"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_34_0" name="q34_input34" value="I am a local community member" /><label id="label_input_34_0" for="input_34_0"><span>I am a local community member</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_34_1" name="q34_input34" value="I am a visitor" /><label id="label_input_34_1" for="input_34_1"><span>I am a visitor</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_36" class="form-input-wide"> <div class="form-header-group"><h3 id="header_36" class="form-header">Local Member</h3><div id="subHeader_36" class="form-subHeader">Please list how many meals you'd like to reserve.</div></div> </li><li id="cid_43" class="form-input-wide"> <div class="form-header-group"><h3 id="header_43" class="form-header">Rosh Hashana Dinner 1st Evening | Monday, Sept 22</h3></div> </li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> 1st Night RH Dinner: Adults </label><label class="label-message" for="input_29"> $30 per person</label></div><div id="cid_29" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_29" name="q29_number29" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_39"><div class="form-label-left" id="label_39"><label for="input_39"> 1st Night RH Dinner: Children (under 12) </label><label class="label-message" for="input_39"> $10 per child</label></div><div id="cid_39" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_39" name="q39_number39" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li id="cid_44" class="form-input-wide"> <div class="form-header-group"><h3 id="header_44" class="form-header">Rosh Hashana Dinner 2nd Evening | Tuesday, Sept 23</h3></div> </li><li class="form-line" id="id_48"><div class="form-label-left" id="label_48"><label for="input_48"> 2nd Night RH Dinner: Adults </label><label class="label-message" for="input_48"> $30 per person</label></div><div id="cid_48" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_48" name="q48_number48" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_31"><div class="form-label-left" id="label_31"><label for="input_31"> 2nd Night RH Dinner: Children (under 12) </label><label class="label-message" for="input_31"> $10 per child</label></div><div id="cid_31" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_31" name="q31_number31" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li id="cid_55" class="form-input-wide"> <div class="form-header-group"><h3 id="header_55" class="form-header"></h3></div> </li><li class="form-line always-hidden" id="id_56"><div class="form-label-left" id="label_56"><label for="input_56"> 3rd Night Shabbat Dinner: Adults </label><label class="label-message" for="input_56"> $30 per person</label></div><div id="cid_56" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_56" name="q56_number56" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line always-hidden" id="id_57"><div class="form-label-left" id="label_57"><label for="input_57"> 3rd Night Shabbat Dinner: Children (under 12) </label><label class="label-message" for="input_57"> $10 per child</label></div><div id="cid_57" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_57" name="q57_number57" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li id="cid_35" class="form-input-wide"> <div class="form-header-group"><h3 id="header_35" class="form-header">Visitor</h3><div id="subHeader_35" class="form-subHeader">Please list how many meals you'd like to reserve.</div></div> </li><li class="form-line" id="id_37"><div class="form-label-left" id="label_37"><label for="input_37"> Dinner #1 Sept 22 </label><label class="label-message" for="input_37"> $75 per person</label></div><div id="cid_37" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_37" name="q37_number37" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Lunch #1 Sept 23 </label><label class="label-message" for="input_30"> $55 per person</label></div><div id="cid_30" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_30" name="q30_number30" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_42"><div class="form-label-left" id="label_42"><label for="input_42"> Dinner #2 Sept 23 </label><label class="label-message" for="input_42"> $75 per person</label></div><div id="cid_42" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_42" name="q42_number42" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_41"><div class="form-label-left" id="label_41"><label for="input_41"> Lunch #2 Sept 24 </label><label class="label-message" for="input_41"> $55 per person</label></div><div id="cid_41" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_41" name="q41_number41" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line always-hidden" id="id_53"><div class="form-label-left" id="label_53"><label for="input_53"> Dinner #3 Oct 4 </label><label class="label-message" for="input_53"> $75 per person</label></div><div id="cid_53" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_53" name="q53_number53" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line always-hidden" id="id_54"><div class="form-label-left" id="label_54"><label for="input_54"> Lunch #3 Oct 5 </label><label class="label-message" for="input_54"> $55 per person</label></div><div id="cid_54" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_54" name="q54_number54" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li id="cid_10" class="form-input-wide"> <div class="form-header-group"><h2 id="header_10" class="form-header">Payment</h2></div> </li><li class="form-line" id="id_51"><div class="form-label-left" id="label_51"><label for="input_51"> Become a High Holiday Sponsor </label><label class="label-message" for="input_51"> </label></div><div id="cid_51" class="form-input"> <div class="form-single-column" data-columns="0"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_51_0" name="q51_input51" value="180" /><label for="input_51_0"><span>$180</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_51_1" name="q51_input51" value="360" /><label for="input_51_1"><span>$360</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_51_2" name="q51_input51" value="500" /><label for="input_51_2"><span>$500</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_51_3" name="q51_input51" value="770" /><label for="input_51_3"><span>$770</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_51_4" name="q51_input51" value="1800" /><label for="input_51_4"><span>$1800</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio" name="q51_input51" id="other_51" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q51_input51[other]" data-otherhint="Other" size="15" id="input_51" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Total </label></div><div id="cid_8" class="form-input"> <div id="total_amount">$0.00 </div><div class="form-single-column form-checkbox-item" id="div_offset_gift_8" style="padding-top: 10px">		<input type="checkbox" id="input_8" class="form-checkbox" name="q8_offsetGiftPercent" value="3" />		<label id="label_8" for="input_8">Yes, I'd like to donate the cost of processing this transaction by adding 3%</label>		<input type="hidden" id="hidden_8" name="q8_offsetGiftAmount" />		<div class="clearfix"></div>		</div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Payment </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_9_creditCard" name="q9_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_9_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_9_paypal" name="q9_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_9_paypal">Paypal</label> </span></td></tr><tr 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