HHD 5783 / 2022

Please provide details of the person making the booking. If the person making the booking is also attending, and is NOT a Member or Friend of the LJS, their details must be entered in the list of attendees below as well.

If you are ordering copies of the Machzor then the address used below will be used as the shipping address.

* First Name

First name of person making booking

* Last Name

Last name of person making booking

* Address Line 1

Address Line 2

* City

* Postcode

* Mobile

* Email Address

Email address of person making booking, this is also where your confirmation will be sent.

* Number of attendees

* Full Name 1

* Person 1 Ticket Type

Person 1 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount - person 1

* Full Name 2

* Person 2 Ticket Type

Person 2 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount - person 2

* Full Name 3

* Person 3 Ticket Type

Person 3 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount - person 3

* Full Name 4

* Person 4 Ticket Type

Person 4 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount- person 4

* Full Name 5

* Person 5 Ticket Type

Person 5 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount - person 5

* Full Name 6

* Person 6 Ticket Type

Person 6 Type

Suggested Donation All

Suggested Donation RH

Suggested Donation KN/YK

* Other Amount - person 6

Machzor Ruach Chadashah

I would like to purchase copies of Machzor Ruach Chadashah @ £30 each including postage and packing)

These will be posted to the address at the top of this form.

Total

As you are not logged in we require you to provide us with a referee, who we may contact to vouch for you. We may at our sole discretion cancel your application based on our internal checking process....

* Full Name and title

* Relationship to you

* Referee Address

* Referee daytime phone number

* Referee Email

Gift Aid declaration

I want to Gift Aid my donations today and any donations I make in the future or have made in the past 4 years to: The Liberal Jewish Synagogue

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Please notify the charity if you want to:

cancel this declaration
change your name or home address
no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Sat, 20 April 2024 12 Nisan 5784