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Chanukah RSVP

Chanukah RSVP

Chanukah Kumzitz Banner.jpg

I would like to make reservation(s) for the Chanukah Dinner & Kumzitz on Wednesday, December 13th.

Attending (@ $20 ea.)

 Family Attendance ($80)

Sponsor (@ $180) Please indicate above how many family members will be attending

Title* First Name* Last Name*

Address Line 1* Address Line 2

City* State Zip Code* Phone

This is my home business address

Please charge my Credit Card in the amount of $

Please add 3.5% to cover credit card processing fees.

Card Type*

Card Number* Expiration Date*

CVV Security Code What's This?

Email Address*
Reconfirm Email Address*

* Denotes required field


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