Shalom Aleichem is a member & recipient of funds from the Jewish Federation of Howard County

Family Name: ______________________________ Telephone: ____________________

E-mail: ___________________________________ Fax: _________________________

Address:________________________________________________________________

 

               _______________________________________________________________

Names - First / Last		Names - First / Last
1.		4.
2.		5.
3.		6.

High Holidays will be at Owen Brown Interfaith Center
7246 Cradlerock Way , Columbia MD 21045
See Calendar for Dates and Times

Please Complete Applicable Categories Below

NON-MEMBERS (not sponsored by a member, price per person):
Adult Non-Member over 21 / Not in College	$180
College Student / Non Member	$54
All Children / Non-Members Ages 4-21	$54
Children Under 4	Free	Free
FAMILY & FRIENDS / GUESTS (sponsored by a member, price per person)
Sponsoring Family Name: ____________________________________________
Adult Member Guest 21 and Over / Not in College	$90
College Student Member Guest	$36
All Children of Member Guests Ages 4 - 21	$36
Children Under 4	Free	Free
High Holidays Prayer Books are provided, but can be purchased for $28 each.

Comments/suggestions additional information can be written on the back of the form.