Tuesday, December 12, 2017
TAY HIGH HOLY DAY TICKET DRAWING FOR 5778/2017
  1. DEADLINE: Monday, September 1, 2017 5:00 PM
  2. Thank you for considering to take part in Temple Adath Yeshurun's first High Holy Day Ticket Drawing!
  3. Eligibility Guidelines in order to enter the drawing:
  4. * You are NOT a current member of TAY. Spouses/partners/significant others of a current member are NOT eligible.
  5. * Open to former members who left in good standing and have not previously been given complimentary membership.
  6. * Valid for up to 4 immediate family members
  7. First Name(*)
    Please type your full name.
  8. Last Name(*)
    Please type your full name.
  9. Home Address (*)
    Please enter your home address.
  10. Home Address - Apt/Suite #
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  11. City(*)
    Please enter your City/Town
  12. State(*)
    Please enter your state
  13. ZIP Code(*)
    Please enter your ZIP Code.
  14. Mobile Phone(*)
    Please enter complete 10 digit number. Example:
  15. E-mail(*)
    Please enter a valid email address.
  16. PLEASE ENTER IN THE NAMES OF ADDITIONAL FAMILY MEMBERS.
  17. First Name Ticket #2
    Please type your full name.
  18. Last Name Ticket #2
    Please type your full name.
  19. Please select Adult or Child button.
  20. If Child, please enter age
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  21. First Name Ticket #3
    Please type your full name.
  22. Last Name Ticket #3
    Please type your full name.
  23. Please select Adult or Child button.
  24. If Child, please enter age
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  25. First Name Ticket #4
    Please type your full name.
  26. Last Name Ticket #4
    Please type your full name.
  27. Please select Adult or Child button.
  28. If Child, please enter age
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  29. How did you learn about the High Holy Day Drawing?(*)
    Please select at least one option
  30. Please enter the CAPTCHA characters in order to submit this form. Thank you!(*)
    Please enter the CAPTCHA characters in order to submit this form.  Thank you!
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