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Optional Donation
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Tree nuts
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We look forward to spending the weekend with you, 10/25-10/26. We will send more information as the date approaches.
This event is full. Please contact the organizers with any questions.
Your First Name
Your Last Name
Your Email Address
Entrée selection (sides, drinks, and dessert included)
Boneless Certified Black Angus Short Ribs of Beef
Chicken Marsala with Mushrooms and Marsala Demi-Glaze
Grilled Filet of Salmon with Lemon Herb Sauce
Attending:
In-person
Online
Do you have any dietary restrictions? Check all that apply.
Vegetarian
Vegan
Gluten free
Dairy free
Lactose Intolerant
Tree nut allergy
Peanut allergy
Other
Please describe:
Do you have any dietary restrictions we should be aware of? Please describe.
If you are experiencing financial hardship and would like to request assistance for the cost of this event, please indicate:
Yes, I would like to request financial assistance
No, thank you
Suggested donation:
$
Would you like to make a donation?
Yes, I will donate the suggested amount
Yes, but I would like to donate a different amount
No, thank you
Donations of $18 or more are acknowledged in our monthly Scroll
Donation
Would you like to make a donation to support programming like this?
Yes!
No, thank you
Donations of $18 or more are acknowledged in our monthly Scroll
Donation Amount
$
How would you like your name to appear for acknowledgement?
E.g. "The Smith Family", "John & Jane Smith", etc
Would you like to sponsor another participant who is experiencing financial hardship?
Yes!
No, thank you
Sponsorship
Cost to sponsor one participant
$
How many participants would you like to sponsor?
Total sponsorship - thank you!
$
Payment
Ticket
$
Donation
$
Sponsorship
$
Total
$
How would you like to pay?
Pay now by providing payment details
Pay by check in advance
Pay at the door
How would you like to pay?
Pay now by providing payment details
Pay by check in advance
How would you like to pay?
Pay now by providing payment details
Pay at the door
How would you like to pay?
Pay by check in advance
Pay at the door
Payment options
Pay by credit card (2% fee)
Pay by eCheck/ACH
Payment options
Pay by credit card
Pay by eCheck/ACH
Credit Card Payment Information
2% Credit Card Fee
$
Total with Fee
$
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Checking
Savings
Bank Name
Pay By Check in Advance
Checks should be made out to Temple Beth Shalom, 670 Highland Ave, Needham, MA 02494. Please include the name of the event in the memo line.
Please be sure to bring your payment in the amount above with you to the event!
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