Har Shalom Submission Form

Congregant's Name(s):

Preferred Email:

* Submission Type:

Please complete an individual form for each request

ALIYAH REQUEST:
Note: The clergy office will notify you if your requested Aliyah date and number are available. Please wait for confirmation before planning for the Aliyah.

Hebrew Name(s):

What is the occasion for your Aliyah request?

1st Requested Aliyah Date:

2nd Requested Aliyah Date:

Preferred Aliyah Number:

First AliyahSecond AliyahThird Aliyah

MAZEL TOV:
Share your simcha with us so we may include it in the upcoming Shabbat Shalom email, Shabbat Bulletin, and Tablet.

Who are you celebrating?

Relationship to Congregant:

Additional relatives to be included in Announcement:

Mazel Tov to...

For example: Jane Smith on the birth of her new grandson, Joe. Proud Parents are Jack & Jill.

REFUAH LIST:
To add someone to the Refuah List, please visit www.HarShalom.org/RefuahList and complete the online form.

Questions? Contact Aaron in the Clergy Office at 301-299-7087 ext. 223.

Please give us more information so we can further assist with your Submission Request:

For example: I want to make a donation, I have an idea for an Adult Education class, etc.

Someone from the Har Shalom Office will contact you within 7 business days after you complete this Submission Form. Thank you for your patience.

If you need further assistance, please call the Synagogue Office at 301-299-7087.

Sat, December 21 2024 20 Kislev 5785

Congregation Har Shalom
11510 Falls Road | Potomac, MD 20854
Tel.: 301-299-7087 | Fax: 301-299-2247

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