Name*Name or names of those the donation should be listed under.Email* Phone*Membership Dues*SelectRegular - $36/yearSenior - $24/yearNew Member - Free (Joined Bet Torah in 2019)Breakfast Donation (optional)Select$18$36$72$118$180$270$360OtherOther Donation I am interested in helping with (select multiple) Shopping for Sunday Breakfasts Cooking for Sunday Breakfasts High Holy Day Ushering Sukkah Set Up & Take Down Monday Night Football Texas Hold’em Poker Night Men’s Club Shabbat Passover Wine Sale Golf Outing Membership Drive World Wide Wrap Softball Communication & Social Media AdministrationAdditional 3% credit card processing fee Price: $0.00 Total $0.00 Billing InformationBilling Name* First Last Billing 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 Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name CAPTCHA
