Celebrate Israel Synaplex™!

Let us know you’ll be joining us for Shabbat Synaplex on Friday, May 9th, 2008
RSVP by Tuesday, May 6th

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)
Name
Phone
Email
Celebrate Israel
Synaplex™ Dinner 		# Adults @ $10: , # Children under 12 @ $5:
Total Amount $ .00
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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