“An Unusual Jewish Journey Out of this World” A Discussion with Astronaut Dr. Jeffrey Hoffman The first Jewish American man in space Sunday, April 28, 3:00 pm at Temple Sholom First Name * Last Name * Address * City * State * Zip Code * Email * Phone Number * Are you a Temple Sholom member? * Yes No How did you hear about this event? * - Select -Temple SholomJewish Organization, please specify: (box for write-in tex)Newspaper/MagazineSocial MediaCommunity CalendarWord of MouthOther Please Specify The cost to attend is $18 per adult (children under 18 who are interested in this program may attend for free with paying adult). Total Cost: * - Select -1 adult: $182 adults: $363 adults: $544 adults: $725 adults: $906 adults: $108 Number of Children Under 18 (Free): - None -123456 Names of all attendees (including children) * Please fill in the following information: First name * Last name * E-mail * Card type Visa Mastercard Card number * Security code 01- January02- February03- March04- April05- May06- June07- July08- August09- September10- October11- November12- December 2019202020212022202320242025202620272028 Click here if billing address is NOT the same as address previously input Different Billing Address Billing Address Billing Address2 City State Zip Please hit the submit button below ONLY ONCE to submit your information. Please be patient and wait for the acknowledgement page to appear.