Guest Ticket Order Form
2016 / 5777
For Out of Town Family of Stephen Wise Free Synagogue Members Only A limited number of guest tickets are available on a first come, first served basis. Guest tickets can only by purchased by members for family members who reside out of town. Everyone must show a ticket with a matching photo ID to gain entry for all services. For college student tickets, see separate form.
Ticket Order Deadline: Friday, August 26, 2016
Children under 18 must be accompanied by a ticketed adult.
Name of Member(s) Ordering Tickets (please print clearly): Member(s)Address
Member(s) Email
Send tickets to: Member(s)
Guest(s)
Please let us know where we should mail your guest tickets. Regardless, we require names and addresses for all guests (please fill in below). The name and address on each ticket must match the government issued photo ID. Guest(s) Information (please print clearly):
Guest Name
Guest Address
City
State Zip
Guest Name
Guest Address
City
State Zip
Guest Name
Guest Address
City
State Zip
Guest Name
Guest Address
City
State Zip
Please pay by check and help Stephen Wise Free Synagogue save on administrative costs and preserve our budget for communal purposes. Checks should be made out to Stephen Wise Free Synagogue. Thank you. $300/Ticket. Total: Check enclosed OR Charge my Visa MasterCard AmEx Name: Signature:
Please return form to:
Card #:
Exp. Security Code (3–4 digits):
Stephen Wise Free Synagogue, 30 West 68th Street, New York, NY 10023 Donna Levine |
[email protected] | P: 212-877-4050 ext. 223 | F: 212-787-7108
