Program Proposal - Form - Temple Beth Or

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Program Proposal

First Name:

Last Name:

Title (if applicable):

* Email:

Website (if Applicable):

Organization (If applicable):

I am:

ArtistAuthorEducatorClergyOther

If you chose other, please elaborate here:

Type of Presentation:

Class or LectureFilm ScreeningMusical PerformanceTheatrical PerformanceOther

If you chose other, please indicate what type of program this is:

* Please provide a brief description of your program here.

* Do you have a specific date in mind for this presentation?

Please Select OneYesNo

* If yes, please indicate the proposed date:

Thu, November 26 2020
10 Kislev 5781

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Thu, November 26 2020 10 Kislev 5781

Temple Beth Or • 5315 Creedmoor Road • Raleigh, NC 27612 • (919) 781- 4895

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