2nd Annual Shulperbowl

Sunday, February 12, 2023 • 21 Shevat 5783

2:30 PM - 7:00 PM

Come to Valley Beth Shalom for the Big Game!

Join us for our 2nd Annual Shulperbowl Party and Fundraiser for the 2023 Super Bowl!

Register

* Please Choose One

* Last Name

* First Name

* Email

* Phone Number

# of MEMBER ADULT tickets

# of NON-MEMBER ADULT tickets

# of KIDS UNDER 12 tickets

Member Ticket Information

* Member Ticket 1: Last Name

* Member Ticket 1: First Name

* Member Ticket 1: Email

* Member Ticket 1: Phone Number

* Member Ticket 2: Last Name

* Member Ticket 2: First Name

* Member Ticket 2: Email

* Member Ticket 2: Phone Number

Member Ticket 3: Last Name

Member Ticket 3: First Name

Member Ticket 3: Email

Member Ticket 3: Phone Number

Member Ticket 4: Last Name

Member Ticket 4: First Name

Member Ticket 4: Email

Member Ticket 4: Phone Number

Member Ticket 5: Last Name

Member Ticket 5: First Name

Member Ticket 5: Email

Member Ticket 5: Phone Number

Non-Member Ticket Information

* Non-Member Ticket 1: Last Name

* Non-Member Ticket 1: First Name

* Non-Member Ticket 1: Email

* Non-Member Ticket 1: Phone Number

* Non-Member Ticket 2: Last Name

* Non-Member Ticket 2: First Name

* Non-Member Ticket 2: Email

* Non-Member Ticket 2: Phone Number

Non-Member Ticket 3: Last Name

Non-Member Ticket 3: First Name

Non-Member Ticket 3: Email

Non-Member Ticket 3: Phone Number

Non-Member Ticket 4: Last Name

Non-Member Ticket 4: First Name

Non-Member Ticket 4: Email

Non-Member Ticket 4: Phone Number

Non-Member Ticket 5: Last Name

Non-Member Ticket 5: First Name

Non-Member Ticket 5: Email

Non-Member Ticket 5: Phone Number

Kids Under 12 Ticket Information

* Kid Ticket 1: Last Name

* Kid Ticket 1: First Name

* Kid Ticket 2: Last Name

* Kid Ticket 2: First Name

* Kid Ticket 3: Last Name

* Kid Ticket 3: First Name

* Kid Ticket 4: Last Name

* Kid Ticket 4: First Name

* Kid Ticket 5: Last Name

* Kid Ticket 5: First Name

Table Reservations

* Please Select Which Table You'd Like To Reserve

* Member and Guests Names for Your Table (Up to 10)

* Member and Guests Names for Your Table (Up to 12)

Total

Please Note: In order to use the following payment types, you must be logged in to your VBS account:

*ACH (e-check) - No processing fees; can be used to pay in full, or in installments. Requires vbs.org log-in. Must be set-up as a valid payment method prior to completing this form. To set-up ACH (e-check) as a valid payment method, go to "My Account" > "My Payment Methods" > "Add New Payment Method". Follow the instructions to set-up ACH (e-check) payments through Plaid.
Donor Advised Fund - No processing fees; can be used to pay in full, or in installments. Requires vbs.org log in.
Payment Plans - We offer pay-in-full or monthly payment options. The monthly plan must be secured with an ACH (e-check) account, debit or credit card.

Credit Card Payment Option: A 2.85% processing fee will be assessed for all credit card charges. Paying by credit card now requires members to pay the processing fee associated with the transaction(s). To eliminate this fee, please select from the above payment options.

If you need assistance with your payment method, please contact the VBS Office: 818-788-6000