Selichot Synaplex™!

Let us know you’ll be joining us for Selichot Synaplex on

Saturday, September 20th, 2008
RSVP by Wednesday, September 17th

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 @ $12: , # Children under 12 @ $6:
Total Amount $ .00
Please charge my card on file for payment: (Check box)
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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

Return to learn more about Synaplex