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Celebrate the Seasons

Join us for a night celebrating you!

* Name

Please select from the options below. This event is complimentary, offered as a token of our appreciation for your support of Beth El.

We would love to attend the event. Enter the number of attendees.

Happy New Year! We would like to make a High Holiday donation in the amount of: $

Happy New Year! No, we cannot attend the event.

Happy New Year! We cannot attend but here is my High Holiday Gift of: $

Kindly respond by October 1st

Bill me

*E-mail:

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: