TBE Dedication Form

ATTENDEES

👥 Attendee Section

⚠️ Do Not Edit This Section
This repeatable section collects info for each person attending (name, email, etc.).
It is synced with Salesforce. Do not change, delete, or add fields to this section.

First Name

Last Name

Primary Email

Mobile Phone

🎟️ Attendee Questions Section

✅ Customize This Section
Use this area to add event-specific questions for each attendee (e.g. meal choices, shirt size, age group).
You may add checkboxes, radio buttons, or dropdowns. Make labels clear for attendees.

Subtotal:

How would you like to make a payment?

Credit CardeCheck/ACHMail a CheckIf you are sending a personal check or contribution from a donor advised fund, please make payable to:
Temple Beth Elohim | Attn: Finance Department | 10 Bethel Rd, Wellesley, MA 02481

Would you like to help TBE cover the credit card transaction fees?

YesNo

Total Amount:

Total Registrants:

Total Attendee Registrants:

DONOR INFORMATION

First Name*

Last Name*

Primary Email*

Mobile Phone*

If you are interested in making a multi-year pledge, please contact us at philanthropy@tbewellesley.org or call Rachel Ross at 781-997-4227.

💳 Payment Section

⚠️ Do Not Edit This Section
This payment section is connected to our accounting system.
Do not remove, move, or change any fields here. To adjust pricing, use the attendee options section.

CREDIT CARD INFORMATION

Billing Last Name

Billing Email

Card Number

Security Code

YYYY

eCHECK/ACH INFORMATION

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Account Type

CheckingSavings

ADDRESS INFORMATION

CS PREFILL ADDRESS FIELDS - MAILING ADDRESS

Mailing Street

Mailing City

Mailing Country

Mailing State

Provinces

State/Province

Mailing Postal Code

Is your billing address the same as your mailing address?

YesNo

Billing Street

Billing City

Billing Country

Billing State

Provinces

Billing State/Province

Billing Postal Code

🛠️ Hidden Metadata & Control Fields

⚠️ Hidden Control Section – Do Not Edit
This section contains hidden fields like Campaign ID (used to associate form submissions with Salesforce campaigns) and Attendee Price (used in calculations).
These fields are required for form logic and integration.
Do not rename, move, delete, or modify these fields.

Designation Id - PF

CampaignID - PF

Today's Date - PF

Account Id - PF

Contact Id PF

Event Title - PF

Donations Campaign Id

Donations Designation Id