TEST - DO NOT USE - Temple Rodeph Torah | Reform Temple

Testing page for form enabling both credit card and check payment

NOTE: I can’t find an approach that works, but below is the form I was trying to use

Are you a member of Temple Rodeph Torah?*
- Yes, I am a member of TRT
- No, I am not a member TRT
Member's Name*
First Last
Non-Member's Name*
First Last
Email*
Contact Phone (Required)*
Please provide a phone number in case we need to talk to you about your requests.
Contact Phone
Please provide a phone number in case we need to talk to you about your requests.
Spouse's Name
Leave blank if not appropriate
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Rosh Hashanah Service Selection*
Please indicate your preferred service for 1st day, Rosh Hashanah morning.
- Traditional Rosh Hashanah - 8:30am
- Rock Hashanah - 11:00am
- We do not plan to attend either service
Names (and ages) of all member's children attending (35 yrs old or younger)
Separate each child (and age) with commas. Children 36 or over require an Extended Family ticket (see below).
Extended Family Member tickets
Please note that your extended family consists only of your parents and their spouses, grandparents and their spouses, siblings and their spouses, grandchildren and their spouses, and your children over 35 years old. Age 35 & under are free, but must complete the free ticket request form.
Price: $125.00
Extended Family Member Info
Please provide the name and address, and relationship to the member, of each extended family member needing a ticket. Please use a new line for each person.
Checkbox to Enable Members to buy Non-Member tickets
- I want to purchase additional non-Member tickets
Non-Member tickets - Family Tickets
Non-member family tickets are good for 2 adults and their children (under 18). Age 35 & under are free, but must complete the free ticket request form.
Price: $625.00
Non-Member tickets - Individual, All Services
Age 35 & under are free, but must complete the free ticket request form.
Price: $375.00
Non-Member tickets - Individual, One Service
Please indicate the desired service in the Non-Member info section below.
Price: $195.00
Non-Member Info
Please provide the name and address of each non-member needing a ticket. Please indicate the ages of all children. Please use a new line for each person.
Note: Tickets allow access to all morning, afternoon and evening services. See the complete list of services here.
Service Attendance Plans
Please help us plan the services by providing information on your expected number of attendees for the following services
Traditional Rosh Hashanah morning attendance*
Rock Hashanah attendance*
Yom Kippur Morning attendance*
.
Additional Items
Selichot Barbecue
We will celebrate Selichot, the beginning of the High Holidays, with a barbecue and service on Saturday, September 21. The barbecue is at 6:00pm, service at 7:30pm. The barbecue is FREE, but RSVP is required.
- Yes! I will be at the Selichot barbecue
How many people will attend the Selichot barbecue?*
Please enter a number from 1 to 10.
Opportunities for Giving
The High Holiday season is a time for introspection and self-examination. Traditionally, this season is a time to give tzedakah, and our TRT community has always responded generously. On behalf of our entire temple family, the Board of Directors, Rabbi Weber and Cantor Lawrence, we thank you in advance for your generosity.
Wall of Honor
The “Wall of Honor” is our tribute and thank you to those members and non-members who have supported the temple by giving generously during the High Holiday Appeal.
Contributors at the Sponsors level or higher will have their names inscribed on our Wall of Honor.
Donation Categories:
Gold: $10,000 & up
Trustees $5,000 to $9,999
Benefactors $2,500 to $4,999
Guardians $1,000 to $2,499
Patrons: $720 to $999
Sponsors $360 to $719
Partners: $218 to $359
Friends: Under $218
Wall of Honor - Payment Options*
- Pay now
- Bill me ONE TIME only
- Bill me MONTHLY through June 2020
- No Wall of Honor pledge at this time
Wall of Honor Donation - Pay Now*
Only the Wall of Honor donation can be billed. All other expenses, if any, are due when this form is filled out
Wall of Honor Donation - Billed One Time
Wall of Honor Donation - Billed Monthly
Enter the TOTAL amount to be billed. Monthly payments will added to your TRT bill through June 2020.
Please include my name on the Wall of Honor as:
Anonymous Donation
- I prefer to remain Anonymous
Yizkor Memorial Book
The Yizkor Memorial Service is a time to remember our loved ones - a binding together of the generations. We remember what they have done for us and consider what we can do in their honor. Each year, we print a Memorial Book in which we provide space for congregants to remember their loved ones. We urge you to participate. In order to meet our printing deadline for the Memorial Book, fill in the information below. $25 per name.
**Remembered by**
Please enter your name(s) as they should appear in the Yizkor Memorial Book
Reprint Last Year's Entries
NOTE; If you would like us to reprint your entries from last year's book, check the box and we will bill you the appropriate amount
- Reprint Last Year's Entries
Yizkor book entries
$25 per name
Price: $25.00
Name and Relationship of Loved Ones to be Remembered
Please use a separate line for each name
Rosh Hashanah Greeting Card
A specially designed New Year’s card will be sent to the entire congregation. To have your family send a greeting to all your temple friends at once is a unique opportunity and an annual TRT tradition. For those wishing to have their family listed inside the card, the cost is only $54.00. Listing should be one line with family names only. Examples: 1. Jared & Dana Schwartz 3. Jared & Dana Schwartz and Family 2. Jared, Dana, Allison and Joshua Schwartz 4. The Schwartz Family 3. Jared & Dana Schwartz and Family 4. The Schwartz Family
Greeting Card Selection
- Yes - I'd like to buy a listing in the Rosh Hashanah Greeting Card
My listing should read:
Greeting Card Fee
Price:
Special Instructions (if needed)
Payment
Sum of All Charges
Method of Payment*
- Credit Card (online)
- Check (to be mailed)
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Add Credit Card Processing Fee
- Add 3% to cover the credit card fee
TRT pays a 3% processing fee on credit cards. Please increase your payment to cover this fee. You can pay without covering this fee by un-selecting this checkbox.
Credit Card Fee
Price: $0.00
Please send your check to:

Temple Rodeph Torah
PO Box 125
Marlboro, NJ 07746

Please include a memo on the check indicating High Holiday fees and your name
Total Due
$0.00

TEST – DO NOT USE

Testing page for form enabling both credit card and check payment

Service Attendance Plans

Additional Items

Opportunities for Giving

Wall of Honor

Yizkor Memorial Book

Rosh Hashanah Greeting Card

Payment