- Form - Temple Am Echad The South Shore Reform Congregation

* Preferred Email Address

* First Name

* Last Name

Please list names of all attending

# of Adult Members
($20 per adult Temple member)

# of Children
($10 per child under 13)

# of Guest Adults
($30 per guest adult)

Family Plan*
($50 per family)

* If choosing the Family Payment Plan, please provide information requested below:

# of Adult Temple Members in Family Payment Plan

# of Children in Family Payment Plan

Total Amount

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

Sat, February 22 2025 24 Shevat 5785