Adat Shalom High
Holidays 5770 (2009) -- Member Registration & Payment Form
Name(s): ______________________________
Address: ______________________________
Phone: day
_____________________________ evening ______________________________
NOTE:
All attendees need tickets. Member tickets will be sent automatically.
Please order your guest and program tickets as follows.
TICKETS
| TYPE | # OF TICKETS | PRICE | TOTAL | ||
| GUESTS | |||||
| Out of town w/membership ** | |||||
| Both Holidays | x | $125 | = | ||
| Rosh Hashanah only | x | $75 | = | ||
| Yom Kippur only | x | $75 | = | ||
| In-town or unaffiliated | |||||
| Both Holidays * | x | $270 | = | ||
| Rosh Hashanah only * | x | $175 | = | ||
| Yom Kippur only * | x | $175 | = | ||
|
Student guests, new Americans, military
personnel, and under 25 |
|||||
| Both Holidays | x | $18 | = | ||
| Rosh Hashanah only | x | $18 | = | ||
| Yom Kippur only | x | $18 | = | ||
| BREAK THE FAST | |||||
| Adults and kids 12 and over | x | $27 | = | ||
| Kids ages 6 to 11 (no charge for ages 1to 5) | x | $9 | = | ||
| TOTAL FOR SECTION |
* Should costs be prohibitive, please contact
Sheila Feldman (301/767-3333x107 or sheila.feldman@adatshalom.net)
by 9/2/09, to discuss alternative payment arrangements.
All must contribute as they can, but we promise that no one need miss
the holidays due to financial hardship.
**We honor reciprocity with fellow
Jewish Reconstructionist Federation synagogues. Please indicate
the number of members of other JRF communities who will be with you
-- we welcome their contributions, but there is no charge.
YIZKOR
Fill out and return the Yizkor Book Form.
Check here
if done online at http://www.adatshalom.net/
| YIZKOR BOOK | |||||
| Number of lines | x | = | |||
| A donation of $18-$36 per line is suggested. | |||||
| CONTRIBUTION (Please help defray costs for those who can’t pay full price.) | |||||
| TOTAL FOR SECTION |
CHILDREN’S PROGRAMMING
IMPORTANT: PLEASE ALSO
FILL OUT AND SEND IN THE CHILDREN’S PROGRAMMING REGISTRATION
FORM.
| CHILDREN’S PROGRAM | # OF CHILDREN | PRICE | TOTAL | ||
| MEMBERS | |||||
| Babysitting thru Grade 3 | |||||
| Both Holidays | x | $60 | |||
| Rosh Hashanah only | x | $35 | |||
| Yom Kippur only | x | $35 | |||
| Grades 4 – 8 Programming/Activities | |||||
| Both Holidays | x | $30 | |||
| Rosh Hashanah only | x | $18 | |||
| Yom Kippur only | x | $18 | |||
| NONMEMBERS | |||||
| Babysitting thru Grade 3 | |||||
| Both Holidays | x | $75 | |||
| Rosh Hashanah only | x | $45 | |||
| Yom Kippur only | x | $45 | |||
| Grades 4 – 8 Programming/Activities | |||||
| Both Holidays | x | $40 | |||
| Rosh Hashanah only | x | $25 | |||
| Yom Kippur only | x | $25 | |||
| TOTAL FOR SECTION |
| GRAND TOTAL FOR HIGH HOLIDAYS 5770 |
||
| (Please remit by September 2, 2009) |
Payments for tickets, Yizkor book donations and other contributions are tax-deductible.
Make checks payable to: Adat Shalom
Send by September 2nd with all forms to:
Adat Shalom Reconstructionist Congregation, 7727 Persimmon Tree Lane, Bethesda, Maryland 20817