Leave this field empty

TBA Directory 2017-18 Photo Upload & Opt Out Form

Temple Beth Avodah
45 Puddingstone Lane
Newton, MA  02459

What's included in the directory...

Last Name(s) and First Name(s) (of each adult/child member), Home Address, Email Address(es), Home/Cell Phone Number(s) and Adult Photograph(s). *NOTE: a child is under 25 years or less.

Image upload:

I want to opt out of the following:

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.