- Form - Temple Am Echad The South Shore Reform Congregation

* Preferred Email Address

* First Name

* Last Name

Please list names of all attending

# of Adult Temple Members ($25 per adult)

# of Children ($10 per child under 13)

# of Guest Adults ($30 per adult)

Family Plan* ($60 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

A kosher-style meat meal will be served. Please provide information requested below
if you want an alternative meal:

# of Vegetarian

# of Gluten-Free

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

Wed, February 5 2025 7 Shevat 5785