Men's Club Annual Dues - Form - Temple Adat Shalom

Men's Club Annual Dues

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First Name

Last Name

E-mail Address

Mobile Phone*

Address Line 1

City

State

Zip Code

Enter Number of Members

First Year TAS Member (Free)

Standard Men's Club Dues ($72)

Young Adult Men's Club Dues (<30 yrs old - $36)

Add Additional Names, if necessary

Additional Donation

Total Amount Due

Thu, November 21 2024
20 Cheshvan 5785

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Thu, November 21 2024 20 Cheshvan 5785

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Temple Adat Shalom

Affiliated with the Union for Reform Judaism
Pardeis Religious School
Ganon Gil Early Childhood Center/The Nest Infant-Toddler Center
15905 Pomerado Road, Poway, CA 92064 - 858.451.1200 - info@adatshalom.com
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