subject_line
High Holiday Beginners Service
First Name
*
Last Name
*
Spouse
Street Address
*
City
*
State
*
Alabama
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Connecticut
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Vermont
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Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Attendance Rosh Hashana Thursday, September 25 9:15 AM
# attending
How many adults?
# attending
How many teenagers?
# attending
How many children 7-12?
# attending
How many children 2-6?
# attending
Names of children attending and ages
Names of adults attending
Attendance Yom Kippur, Saturday, October 4 10:00 AM
# attending
How many adults?
# attending
How many teenagers?
# attending
How many children 7-12?
# attending
How many children 2-6?
# attending
Names of adults attending
Names of children attending and ages
This program is free of charge. Donations suggested and appreciated.
Suggested donation $50 an adult per service. Thank you
Donations
$1800.00
$1000.00
$500.00
$360.00
$180.00
$100.00
Other Donation Amount
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