A Trivia Basket, including some Edible treats, will be safely delivered to each participating family. RSVP for Event DescriptionThis is where you can enter a description of your event.Your Information (Fill out your information here. All Household and guest information is to be filled out in the "Guest Information" section.) First Name Last Name Email Address Preferred Phone Number 999-999-9999 Address City State Zip Code I'm attending this eventPlease select...YesNo Your Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Total guests attending Please select...123456(Not including yourself)Please do not use your email, duplicate emails, or make them up. Our system tries to match guests based on their unique email. If you do not know your guest's email, please leave it blank.Guest 1 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 1 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 1 NameGuest 2 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 2 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 2 NameGuest 3 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 3 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 3 NameGuest 4 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 4 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 4 NameGuest 5 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 5 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 5 NameGuest 6 Info TypePlease select...Over 12Under 12 First Name Last Name Email Address Guest 6 Cost$ Do you require a vegetarian meal?Please select...YesNo Do you have any food or allergy restrictions? Guest 6 NameCost Total Registration$ I am paying byPlease select...Credit CardACH/eCheckPay at door I would like to cover the transaction feePlease select...YesNo Final Total$ Credit Card Payment Information First Name on Card Last Name on Card Credit Card Number Expiration Month MM Expiration Year YYYY Use different billing addressPlease select...NoYes Billing Address Billing City Billing State Billing Zip CodeACH/eCheck Information Bank Routing Number Bank Account Number Bank Account TypePlease select...CheckingSavings Bank Name Account Holder Name How did you hear about this event?Community NewspaperEmailFacebookFlyerGoogle SearchJCL WebsiteTemple BulletinTemple MemberOther (Please describe in comments) Check all that apply Questions or Comments?Click SUBMIT only once to avoid being charged multiple times. Date Notification EmailThe link to join the Havdalah program will go live at 7:00 pm. Click this link: https://us02web.zoom.us/j/86363615247?pwd=YjBXMk1COTBZSHl3Nmw1dzJ4R1dTZz09 Meeting ID: 863 6361 5247 Passcode: Sisterhood OutreachID Guest Names DesignationID Payment RequiredPlease select...YesNo EB in Effect?Please select...YesNo Meal?Please select...YesNo Event?Yes Active Event?Yes Mobile App?YesThis form is not available. Please contact Benji at [email protected] for help. Authnet_Hidden_Fields reCAPTCHA helps prevent automated form spam.The submit button will be disabled until you complete the CAPTCHA. Contact Information
