Brotherhood RSVP Form
NOTE: If paying by credit card a 3% charge will be added to your payment to cover fees incurred by Scarsdale Synagogue
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Would you like to pay the OPTIONAL admission fee of $5/person to help defray costs and receive one free raffle ticket/person which will enter you to win a signed copy of Mike Silver's book ?
*
Yes
No
Fee
Which event(s) are you attending?
*
Brotherhood Dinner Discussion 10/20
Breakfast 10/29
Rockin' Chanukah 12/16
PLEASE NOTE:
If you change your choices and the totals below are
not calculating correctly,
please refresh the page.
# of Adults Attending Rockin' Chanukah Celebration @$36/person
# of Adults Attending Brotherhood Dinner Discussion @$36/person
# of Adults Attending Breakfast @$5/person
Total Chanukah
Total Dinner
Total Breakfast
SUB TOTAL
Credit Card Fee
FINAL TOTAL
Payment Option
Credit Card
Cheque
Please click submit below and
mail your check for the TOTAL amount above
made out to SSTTE Brotherhood to:
Scarsdale Synagogue
2 Ogden Road
Scarsdale, NY 10583
Amount to be billed to Credit Card
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USD
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Submit
Payment Description
Should be Empty: