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Shabbos Dinner Reservation

Shabbos Dinner Reservation

Friday, July 21, 2017

My Information
First Name
Last Name
Email Address
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Phone Number
Number of Adults Attending
Number of Children Attending
 
Payment Information
Cost of Dinner: $15 per child
$25 per adult
Sponsorships: $100 patron
$180 sponsor
 
Credit Card Type
Name on Card
Credit Card Number
CVV Security Code What's this?
Exp. Date
Amount to be Charged
Billing Address
Zip Code


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