Registration for Celebration Honoring Past Presidents

Registration ends strictly 4/12/10.  NO EXCEPTIONS!!!  Payment is due by 4/25/10. 
To register by mail, send in the following information to
Mishkan Torah Synagogue
10 Ridge Road
Greenbelt, Maryland 20770

Names: ________________________________________________________________________________________________

Phone_________________________________________ Email ________________________________________________

Attending:     _____ @ $40 per person *      _____ past presidents (gratis)             $_______________

Meal Choices:             _____ Chicken  ______Vegetarian (Portabello Mushroom)

¨ I/we would like to make an additional donation in the presidents’ honor        

¨ I/we are unable to attend but would like to make a donation in their honor

Please check the appropriate category:    ¨ $18  (Patron)    ¨ $36 (Supporter)

¨ $54 (Advisor)        ¨ $72  (Cabinet)       ¨ $100+  (Inner Circle)                  $_______________            

Total enclosed (checks made payable to Mishkan Torah)                                  $_______________

    *Donations (including program book names) and $20 of each paid admission are tax deductable.


To register by email, fill out the form below.  For "password," simply type "Chiefs."  In the information box, please indicate how many are in your party, what their meal choices are, and the size of any additional donation that you might like to make.  After filling out the form, click on the "Register" button.  Please click only once (it will take about 15 seconds for the email to be sent).


Registration Form

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