Break the Fast 2023

Donation Form for Breaking the Fast Potluck 5784/2023

Monday, September 26th at Temple Isaiah

Please join us for a community Break the Fast Potluck following the 5:00 p.m. Neilah Services on Yom Kippur as dusk falls and the day is ending.

This form is in lieu of bringing one potluck item per person by paying $18 per adult & $9 per child ages 3-12 (ages 0-2 free). If you prefer to bring a potluck item instead, please sign up at https://www.signupgenius.com/go/10c0d4dafad2aa5f49-breaking4

Questions? Please contact Adam Hanin or the Temple Isaiah office at (925) 283-8575 or reception@temple-isaiah.org

First Name *

Last Name *

Email Address *

Cell Phone Number

Donation *

	Number of Adults ($18 each)
	Number of Children ages 3-12 ($9 each)

Current Total:

$0.00

Payment Option *

Save this payment option?

Please save this payment method to my account

Name on Card *

Credit Card Number *

Exp Month *

Exp Year *

CVV Security Code *

Credit/Debit Card Fee 3% *

Credit/Debit Card Fee 3%

Billing Address *

Billing City State Zip *

Bank Account Holder Name *

Routing Number *

Bank Account Number *