Adat Shalom High Holidays 5769 (2008)

Non-Member Registration & Payment Form

Name(s): ________________________________________________________________________

Address: ________________________________________________________________________

Phone: day _____________________________ evening _________________________________

E-mail Address ____________________________________________________________________

Synagogue Membership (if any) _______________________________________________________

How did you hear about us? __________________________________________________________

Have you ever attended High Holiday services at Adat Shalom before? ________________________

Are you interested in having membership information sent to you? ____________________________

Bethesda, MD. And should you decide to affiliate with us during this (calendar) year, the cost of these

High Holy Day tickets will be credited toward your first-year dues. Enjoy the services, and enjoy our

community!











Payments for tickets, Yizkor book donations and other contributions are tax-deductible.

Make checks payable to: Adat Shalom

Send by SEPTEMBER 9th with all forms to:

Adat Shalom Reconstructionist Congregation, 7727 Persimmon Tree Lane, Bethesda, Maryland 20817