Temple Beth Sholom 2008
High Holy Days Return Form 5769

To charge your card on file, please fill out and submit form below.
Otherwise, print and mail this web page to the TBS Office (address below)
Member's Name
Member's Phone

Member's Email
Dinners Qty Cost  
Selichot Synaplex:
5pm Sept. 20th 		$ .00 Adults @ $12 ea.
$ .00 Children (12 & under) @ $6 ea. (enter # of children)
     
2nd Day
Rosh Hashanah
Luncheon:
1pm Oct. 1st 		$ .00 Adults @ $10 ea. (enter # of adults)
$ .00 Children (12 & under) @ $5 ea. (enter # of children)
     

Simchat Torah/
Consecration
Dinner Honoring
New Members:

5:30pm Oct. 20th

$ .00 Adults @ $12 ea.
$ .00 Children (12 & under) @ $6 ea.
-Free- New Members only
# of Adults & Children attending Free
     
Donation      
High Holy Day
Flower Fund 		$ .00
$25 Min. 		In honor of: (Rosh Hashanah mention - DEADLINE 9/23)

In memory of: (Yom Kippur mention - DEADLINE 10/2)
High Holy Day
Music Fund 		$ .00
$25 Min. 		In honor of: (Rosh Hashanah mention - DEADLINE 9/23)

In memory of: (Yom Kippur mention - DEADLINE 10/2)
Memorial Book Donation/Listing
Yom Kippur
Memorial Book
Listing

$ .00
$25 Min.

DEADLINE 9/26

Same as last year
New Listing
Add Names:
Remove Names:

Prayer Book Qty    
Purchase
Prayer Book 		How many?
Total: $ .00		 $35/Copy
Gates of Repentance (Gender Neutral)
To be picked up at office or giftshop
Youth Program Reservations (required, no fee)
Grades 1-6
Youth Program
(Library)

10:30 a.m. until conclusion of service
BRING SACK LUNCH
Rosh Hashanah Student(s) & Grades      (DEADLINE 9/26)

Yom Kippur Student(s) & Grades      (DEADLINE 10/6)
Child Care Reservations (required)
Infant &
Kindergarten
Child Care 		Bring sack lunch, snack, plus necessary supplies including diapers & wipes.
Sign-in at School Rotunda Entrance.
Child(s) Name(s) & Age(s): $10/Child per session
  Qty Cost Service
Session 1 $ Erev Rosh Hashanah • Sept. 29, 6 - 8:45 p.m.(DEADLINE 9/25)
Session 2 $ Rosh Hashanah • Sept. 30, 8:30 a.m. until conclusion of service
(DEADLINE 9/25)
Session 3 $ Erev Yom Kippur • Oct 8, 6 - 8:45 p.m. (DEADLINE 10/6)
Session 4 $ Yom Kippur • Oct 9, 8:30 a.m. until conclusion of service
(DEADLINE 10/6)
Session 5 $ Yom Kippur • Oct 9, 3:15 p.m. - 6:30 p.m.(DEADLINE 10/6)
Childcare
Totals:		 $  
Total Charges: $    
Please charge my card on file for payment: (Check box)
Comments
Or print and fill out below
For Printing
and Mailing

Check Enclosed, Amount: $ .00
Charge my : MasterCard / Visa (Circle One)

ONLY : Account Number
  Expiration Date /

Please mail this form back to us at:
Temple Beth Sholom, 2625 N. Tustin Ave., Santa Ana, CA 92705

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