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
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
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
Select your method of Payment
Check
Credit Card
Your Credit Card Total for Brotherhood Dinner Discussion
Your Credit Card Total for Brotherhood Breakfast
Your Credit Card Total for Rockin' Chanukah
TOTAL Credit Card Charge
Your Check Total for Brotherhood Dinner Discussion
Your Check Total for Brotherhood Breakfast
Your Check Total for Rockin' Chanukah
TOTAL Check Amount
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
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Last Name
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Card Expiration
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Payment Description
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