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Jewish Women's Circle Registration

Jewish Women's Circle Registration Form
This event will be held in the safety of the outdoors at the giant Pavilion at Rosmarin's, 12 School Road in Monroe.
Registration is required and due no later than May 13th. Supplies need to be ordered ahead of time.
Name
First NameLast Name
E-mail*
Phone Number
Area CodePhone Number
Number of adults @ $25 each*
Design Choice - Adult*
Option 1 - Glass Challah BoardOption 2 - Shabbat Candle Tray
Number of students/teens @ $18 each*
Design Choice Student/Teen*
Option 1 - Glass Challah BoardOption 2 - Shabbat Candle Tray
Notes
Donation / Sponsorship
$18$36$54$100$180$360
Donation Total
$0.00

Donation Method

Credit Card Will mail check to 1170 Route 17m, Suite 1, Chester, NY 10918

Postal / Zip Code

Country

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