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Holidays High Holidays

Rosh Hashanah Community Dinner

Rosh Hashanah Community Dinner Reservation Form

Sponsors:
Jordan Goetz
Sponsors of $100+ will be listed here
Full Name
First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
Number of adults ($40 each)*
Number of children ($20 each) Ages 2-12. Under 2 is free, over 12 is adult
Note
Optional Donation / Be a Sponsor!

$100$180$360$540$613$1000$1800$3600
Donation Total

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

Payment Method

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

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