Congregational Second Night Seder

Member Pricing

After Friday, March 17: Adults: $55/pp; Children (3-12): $16/pp; Free for children under 3
Non-Member Pricing

After Friday, March 17: Adults: $85/pp; Children (3-12): $24/pp; Free for children under 3
You may also register by phone. Contact Marcia Biggs at 267-930-7288. She is also available to answer your questions. Best efforts will be made to accommodate your requests, but seating location cannot be guaranteed.

All are welcome. For members experiencing financial challenges, please contact Jeff Katz at jkatz@rodephshalom.org. All registrations are due Monday, April 2.

Participant Information

This participant is a(n):

Adult

Child (ages 3-12)

Child (under 3)

Is this participant a member of Congregation Rodeph Shalom? (If this is a child of a member, please select yes).

Yes

No

This participant is a student at Temple Hillel

First Name

Last Name

Telephone Number

Email Address

Birthdate

Do you need any special accommodations?

Accommodations Needed

Seating Request

Campaign Member Status

Adult Ticket Cost

Hillel Student Ticket Cost

Child Ticket Cost

Ticket Cost

Account Name

Payment Information

Payment Method

Credit Card (a 3% processing fee is automatically added)eCheck/ACH (no additional fee)

Total Ticket Cost

Processing Fee

Total (today's payment)

$

Billing First Name

Billing Last Name

Billing Email

Billing Street Address

Billing City

Billing State

Billing ZIP Code

Card Number

MM

YY

Code

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Account Type

CheckingSavings

Authnet_Hidden_Fields

Hidden Section

Campaign ID

Parent Campaign ID

Household Membership Status

Account Number Prefix

Today Date

Early Bird Cutoff Date

Date Difference

Description

info@rodephshalom.org

Since 1795
615 North Broad Street, Philadelphia, Pennsylvania 19123 • t. 215.627.6747 • f. 215.627.1313
www.rodephshalom.org