Shavuos Meal Registration

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Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
MEMBERS
Number of Adults (13 and up) Only select if you're not reserving for a family price
Number of Children (2-12) only select if you're not reserving for a family price
Number of families reserving for only choose this if you're NOT paying for individuals
Family Price: Number of Adults
Family Price: Number of Children
NON-MEMBERS
Number of Adults (13 and up) Only select if you're not reserving for a family price
Number of Children (2-12) only select if you're not reserving for a family price
Number of families reserving for only choose this if you're NOT paying for individuals
Family Price: Number of Adults
Family Price: Number of Children
Please help us enhance the meal with your additional generous donation in the amount of:

1825365472100180250360500
Total

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

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Name on Card
Expiration Month	Expiration Year

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