Community Shabbat Dinner Registration

Admission: Adults - $18; Children (under 12) - $12
 
   
* - required field  
* Number of Persons: $18/Adults, $12/Children
 

 

* Your First Name
* Your Last Name
   
I would also like to make a  Donation $:     

* Total amount

* Credit card type

* Credit card number

* Expiration Date

* Security Code

   

* Billing Address

* City

* State

* Zip

   

* Your email address

* Your phone number

See you at the Dinner!