- Form - Temple Am Echad The South Shore Reform Congregation

* Preferred email address

* First Name

* Last Name

Journal Ads & Tickets

Additional Tickets

No Additional TicketsSingle Additional Ticket ($125)Two Additional Tickets ($250)

Please enter your journal ad or booster text here

Tickets

Single Ticket + Booster* ($150)Two Tickets + Booster* ($300)* A Booster is a single line, comprised only of the ticketholder's/ticketholders' name/s.

Attendee 1 Name

Attendee 2 Name

Attendee 3 Name

Attendee 4 Name

Total Gala Purchase
(Tickets + Journal Ad)

If paying by check, please make your check payable to Temple Am Echad and mail to
One Saperstein Plaza
Lynbrook, NY 11563

Thank you!

If not a member of Temple Am Echad, please provide your address

If not a member of Temple Am Echad, please provide your phone number

Sat, February 22 2025 24 Shevat 5785