Ticket Order Form
2013 - 5774
*For Guests of Members Only* Tickets are required for all services on Rosh Hashanah and Yom Kippur. Everyone must show a ticket and photo ID to gain entry. For college student tickets, see seperate form.
Ticket Order Deadline: Friday, August 2, 2013
Children under 18 must be accompanied by a ticketed adult. Tickets will be mailed to members in good standing automatically before August 30, 2013. Send tickets to: Member(s) Guest(s) Please let us know which of the mailing addresses listed below is best for you. We require addresses for all guests.
Adult Member(s) Name(s) Address Phone # Email
Guest Names (please print clearly): Guest Name
Guest Address
City
State
Zip
Guest Name
Guest Address
City
State
Zip
Guest Name
Guest Address
City
State
Zip
Guest Name
Guest Address
City
State
Zip
Please pay by check. This will help Stephen Wise Free Synagogue save on administrative costs and preserve our budget for communal purposes. Checks should be made out to Stephen Wise Free Synagogue. Thank you. $300/Ticket. Total: Check enclosed OR Charge my Visa MasterCard AmEx Name: Card #: Exp. Signature: Security Code (3–4 digits):
Please return form to:
Stephen Wise Free Synagogue, 30 West 68th Street, New York, NY 10023 Donna Levine | E:
[email protected] | P: 212-877-4050 x223 |F: 212-787-7108
