Full Name*First NameLast NameE-mail*Phone Number*Area CodePhone NumberWhich Friday night / Shabbat will you be joining us?*MonthDayYear Number of adults joining*Number of children joiningNames and Email of all participantsSuggested Donations and Sponsorship Opportunity$36 Suggested Donation - per person$180 L'Chaim Sponsor$360 Parital Shabbat Sponsor$500 Full Shabbat SponsorTotal Charge$0.00 USDPayment Method (Paypal has the option to pay via credit card)Paypal Pay at Door Paypal has been selected. Payment will take place on the next page.NotesI would like to receive news and updates by emailSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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