Community Shabbat Dinner

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Address*

Number of adults attending*
Full Name 1
First Name Last Name
Full Name 2
First Name Last Name
Full Name 3
First Name Last Name
Full Name 4
First Name Last Name
Full Name 5
First Name Last Name
Number of children attending
Child Name 1
First Name Last Name
Child Name 2
First Name Last Name
Child Name 3
First Name Last Name
Child Name 4
First Name Last Name
Child Name 5
First Name Last Name
Child Name 6
First Name Last Name
We kindly request a suggested donation of $36 per person.
If you can not afford we'd still love to have you, simply un-click the donation box and give what what you can.
We appreciate those who can give more to help cover the cost of those who can't.
Donation

Suggested Donation One Adult - $36Suggested Donation Two Adults - $72Family Donation - $118Shabbat Shalom to the Community - $180Co-Sponsor - $540Sponsor Shabbat Dinner - $1800
Please consider donating $10 in order to pay for a security guard.
Security Donaton

$10
Total

$10.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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First Friday - Community Shabbat Dinner