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Gift of Young Adult Membership

Park's Education Department is gifting all members of the 2018 Confirmation Class with a free Young Adult Membership. This special membership is for young adults under 25 years old whose parents are currently Park Synagogue members. Membership includes their own High Holiday ticket, the monthly Park Bulletin, and all other benefits of membership.

Please fill out the form below with the young adult's information:

* Name

* Street Address

* City

* State

* Zip Code

* Age

* Birthdate

* Email

Comments

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Gift of Young Adult Membership

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Gift of Young Adult Membership

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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