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Name (Please include first and last for each adult):

Names of Children and ages:

Street Address:

City, State, Zip:

Phone:

Email:

How did you hear about our service?

I would like passes for Rosh Hashanah (9/23/06)

I would like passes for Yom Kippur (10/2/06)
 

Services begin at 2:30 PM

Contact Suzstar8@yahoo.com or TempleOffice@tbeli.org for more information