CONGREGATION B’NAI ISRAEL

REQUEST FOR ADDITIONAL HIGH HOLIDAY TICKETS

2004 - 5765

Name______________________________________ Phone #________________________________

Address___________________________________________________________________________________

Please send High Holiday ticket(s) for the following additional family members residing in my/our home. There is NO CHARGE for parents or college students. (If student, please indicate what college they are attending.)

____________________________________________ _______________________________________________

____________________________________________ _______________________________________________

Please send High Holiday tickets for working children at $136.00 per ticket. (Checks must be enclosed.)

____________________________________________ ______________________________________________

_____________________________________________ ______________________________________________

Please send High Holiday tickets for the following family members who will be visiting. Attached is a check for $136.00 per ticket. ALL CHECKS MUST BE ATTACHED.

____________________________________________ ______________________________________________

____________________________________________ _____________________________________________

Please send High Holiday tickets for the following family members who are in good standing at another synagogue. Attached is a letter from their synagogue stating their status. I understand that their tickets will be sent at NO CHARGE.

____________________________________________ ______________________________________________

____________________________________________ _____________________________________________

Please send High Holiday tickets for associate members at $136.00 per ticket. (Check must be enclosed.)

____________________________________________ ______________________________________________

____________________________________________ _____________________________________________

TICKETS WILL NOT BE MAILED WITHOUT PAYMENT

In order to facilitate your request, please enclose check and mail no later than August 27, 2004.

Please sign below in order to have your tickets mailed to you.

_______________________________________________

Signature

I AM A MEMBER IN GOOD STANDING FOR THE 2004 - 2005 FISCAL YEAR