REGISTRATION INFORMATION This year there will not be any tickets. Rather, a password will be provided to all members in good standing to allow you into our online services and programs. We ask that you do not share this password. Please fill out the form below for your own household, and then invite your non-member guests to register with us to receive the password. Thank you.Member Name* First Last Email* Home PhoneCell PhoneMailing Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Are you a member of our Congregation?* Yes No Would you like to be contacted about membership? Yes, please contact me about membership Number of Adults in HouseholdNumber of Children aged 0-5 in HouseholdNumber of K-6th Grade Children in HouseholdNumber of Teens in HouseholdNumber of College Students in HouseholdPlease include the name and contact of those children not living in your household who would like to attend.In-Person Prayer in Front of Ark/Cider Pick-Up I/my family would like to participate in the In-Person Prayer in Front of Ark/Cider Pick-Up MAHZOR LEV SHALEM – HIGH HOLY DAY PRAYER BOOKSPrayer Book OptionsWe want to make sure that everyone who needs one is able to receive a prayerbook. Please see the website or the High Holy Days booklet (page 18) for information about prayerbook options. I/we would like to purchase physical copies of the prayer book I/we will purchase the digital copy on our own. (Click here to purchase) I/we are members and would like to borrow (up to two) copies. Prayer Book OrderI/we would like to purchase physical copies of the prayer book Price: $42.00 Quantity: Number of copies to be borrowed?Please enter a number from 1 to 2. MEMORIAL SERVICE BOOK 2020-21/5781 The names you send will be published in the Annual Memorial Book and included in a video to be shared at the Yom Kippur Yizkor Service. Please choose one Publish names EXACTLY the same as last year: NO CHANGES. Please enter donation amount below. I have changes – I will list ALL NAMES, not just additional names to be included below Please list all names belowNames will be displayed in the order given. Separate each name with a comma. NEW THIS YEAR – Our current plans for an online High Holy Day experience presents a new opportunity in remembering our loved ones. In addition to the memorial book, we will be creating a video with your loved one's names and photographs, if you choose. Contact us with questions about the memorial book Sending Images for Yizkor Video I will email an electronic photograph of each of my remembrances to: firstname.lastname@example.org, with subject as: Yizkor [Your Name]. Our intention is to share the photographs with names of loved ones during our online Yizkor service. Memorial Book Request I would like to receive a printed copy of the memorial book. Memorial Book DonationA donation of $18 per name is requested. HIGH HOLY DAY GREETER SIGN UP These High Holy Days plan on getting your first mitzvah of the New Year done before the ark even opens! While the holidays will be different this year, we do hope to have “in-person” opportunities. Please do let us know if you can help by checking the options below. We will email you more specifics as we have them. Thank you!I would like to help this High Holiday season! I will greet for a shift I am new to greeting – please pair me with someone who has greeted before. LULAV & ETROG ORDER Contact the office at 503.246.8831 or email email@example.com with questions about lulav/etrog orders. The office will contact you when the sets have arrived. I/we would like to purchase Lulav/Etrog sets. Price: $48.00 Quantity: DONATIONS Note that this year we are not selling HHD tickets or parking spaces, which normally makes up a large portion of our annual revenue. We appreciate any donation you would like to give to help make up this shortfall. A recommended starting place is $36/person. Thank you for your generosity.Please consider an additional donation amount if you are able. Payment Processing Please enter your payment information below.I would like to pay now via PayPal*YesNoMy balance will be paid by:Credit Card on FileCheck mailed to the officeTotal Amount: $0.00 EmailThis field is for validation purposes and should be left unchanged.