Community Celebration

$ Donation Amount:

Please replace the default $180.00 amount above with the actual amount of your payment (if that total amount is different)

Please select the number of tickets for which you are making payment and then enter the total payment amount into the payment box above. You can also pay by contacting our administrator at shayam@comcast.net or 508-228-6588 or by mailing a check to Shirat HaYam, PO Box 1145, Nantucket, MA 02554.

$180 = One (1) Ticket Any amount = I can’t attend, but want to donate in honor of this celebration

Number of Tickets

Please provide full name(s) in which the Ticket(s) are to be registered

Personal Information of Donor

Title

First Name *

Last Name *

Email Address *

Phone *

Credit Card Information

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Total: $180.00

Community Celebration

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