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Reservation Form

Reservation Form

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Pre Rosh Hashana Dinner! 

Dates: Friday, September 15, 2017 


Admission: 
Adults: $36
Children: $20
Table Sponsor: $360

Please use following form to register.

  Name

Man

Woman

Phone Number
1.

2.

3.

4.

5.

Please use the following form for payment:

Personal Information
Title Province    
First Name Postal Code
Last Name Country
Address Phone
City Email Address

mm/yy

 Please call me for payment arrangements

 

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