Family Shabbat Dinner Registration

Admission: Adults - $25; Children (under 12) - $12
 
   
* - required field  
* Number of Adults: .$25/per person
* Number of Children (under 12): .$12/per child
 

 

* 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!