SCHOLAR-IN-RESIDENCE WEEKEND REGISTRATION

February 23rd–25th

 

Name(s):    ____________________________________________________________________________________________________________

                   ____________________________________________________________________________________________________________

Address:     ___________________________________________________ City: _________________________ State: _____  Zip: ____________

Phone:        ____________________________________    Email: __________________________________________________________________

             __ Potluck Dinner & Service       Number Attending _________          Dish for Potluck _____________________________________________

             __ Friday Night Service Only            __ Saturday Night           Number Attending __________  @  $5 ea. $  ____________

                                                                     __ Sunday Morning        Number Attending __________  @  $5 ea. $  ____________

                                                                            Total                $  ____________

 

Return with Your Payment by February 16th to: Congregation Or Chadash  3939 N. Alvernon, Tucson, AZ 85718

 (Make checks payable to Congregation Or Chadash)

Print and Mail the completed Form to Or Chadash

 
Text Box: SCHOLAR-IN-RESIDENCE WEEKEND REGISTRATION February 23rd–25th Name(s): ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Address: ___________________________________________________ City: _________________________ State: _____ Zip: ____________ Phone: ____________________________________ Email: __________________________________________________________________ Q Potluck Dinner & Service Number Attending _________ Dish for Potluck _____________________________________________ Q Friday Night Service Only Q Saturday Night Number Attending __________ @ $5 ea. $ ____________ Q Sunday Morning Number Attending __________ @ $5 ea. $ ____________ Total $ ____________ Return with Your Payment by February 16th to: Congregation Or Chadash 3939 N. Alvernon, Tucson, AZ 85718 (Make checks payable to Congregation Or Chadash)