Erev Rosh Hashanah Community Registration Form

High Holy Day services at Rodeph Shalom are an uplifting experience of community, prayer, and music.

In our tradition dating back to biblical times, we are pleased to welcome guests. Please join us on Erev Rosh Hashanah, Monday, September 22 at 7:30 p.m. by registering below. If you are looking to explore becoming a prospective member contact Steven Share by clicking here or at 267-930-7286.

Attendee Information

First Name

Last Name

Telephone Number

Email Address

Optional Donation

Donation

Donation Amount

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Payment Information

Check here to include the 3% processing fee

along with my donation

Processing Fee

Total (today's payment)

Payment Method

Credit CardeCheck/ACH

Billing First Name

Billing Last Name

Billing Email

Billing Street

Billing City

Billing State

Billing ZIP Code

Card Number

Code

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Account Type

CheckingSavings

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Event Campaign ID

Payment Campaign ID

Household Membership Status

Account Number Prefix

Auto-Responder Email

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