Israeli Shabbat

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Shabbat Dinner Registration

$25/Adult $20/Child $100/Family
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Number of Adults
Number of Children
Number of Families ONLY choose this if you are not paying for individual adults and/or children
How many adults and children are included in the Family Price?
I would like to be an event sponsor

180360500
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Credit Card Info:

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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