Lag B'Omer Bonfire

Date

Individual making the reservation*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Number of TBE MEMBERS you are registering?*

Number of NON-MEMBERS you are registering?*

Total amount due

CheckCredit Card

Thank you for registering for our Lag B'Omer Bonfire Program. Please pay ${totalAmount}.00 before 4/25/26 and write "Lag B'Omer " in the memo part of the check.

Mail your check to:

Temple Beth El

5150 Peridia Blvd. East

Bradenton, FL 34203

Amount being charged to Credit Card

USDAdult Education

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

accountiing

YesNo

Lag B'Omer Bonfire & Program