Temple Israel Long Beach Mitzvah Day Sign-Up

Temple Israel of Long Beach
On-Line
Mitzvah Day Registration Form

To register on-line, please fill out and submit form below. Otherwise, print and mail this web page to the temple office (address below). If family members are participating in different projects, please complete a new registration form for each participant with their project preference. Please see our Mitzvah Day Brochure (PDF format) for details on all projects

Submitter's Name
Phone
Email
Name of person & Project(s) to RSVP for



Additional Donation: If you would like to make a donation to Mitzvah Day to defray costs, please mail a check to the temple office or click the box below if we have your credit card on file.
Total Amount to charge	$
Please charge my card on file for payment: (Check box)
Comments
	Or print and fill out below

For Printing and Mailing	Check Enclosed, Amount: $ .00 Charge my : MasterCard / Visa (Circle One)
ONLY :	Account Number
	Expiration Date /

Please mail this form back to us at our address below:

Temple Israel of Long Beach
3538 E. 3rd Street
Long Beach, CA 90814-2709
562-434-0996
info@tilb.org
http://www.tilb.org/

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