High Holy Days Guest Sign-Up

Complete this form to sign up non-member guests for High Holy Days services at Congregation Beth Shalom. All are welcome!

The suggested donation for attending is $180 per person for general non-members and $36 for students and for adult children or relatives of current members. If this donation is not feasible, please feel welcome to give what is meaningful for you - no one will be turned away for lack of ability to pay.

* All Names of Guests (including yourself, if you are not a member).

* Best Phone Number

* Which best describes the guest(s):

general non-member

student

relative of current member

* Select a donation amount:

You will be able to pay by credit card (2.5% fee), checking account (no fee), or check (no fee).

Please enter any additional or other amount here:

If you are registering multiple people, please use this box to increase your donation as you are able.

Do you want to pay by check?

If you select Yes, you will be able to submit the form to complete your registration without paying online. Make checks payable to Beth Shalom, 3750 E 3rd St, Bloomington, IN 47401. Put "HHD Guest" in the memo line.

* Do you want to join our mailing list?

* Would you like us to send you information about becoming a member?

You must enter your information below and complete the CAPTCHA before clicking the green button at the bottom or top of the page.

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

Online Fee:

Comments

For added Security please check the box below.

Total:

High Holy Days Guest Sign-Up

Account Details

Payment Information

Credit Card

Checking Account

For added Security please check the box below.