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About Past Events

Glaze & Glow Chanukah Studio

Registration Form

Notes:
1. Chabad Hebrew School students DO NOT need to register, they are automatically registered.
2. Artist will be firing the Menorahs at her studio. Menorahs will be ready for pickup on Dec. 7th
Use this form to register other children or to be a sponsor. RSVP required. Sponsorships welcome and appreciated.

Sponsors (to date):
Sponsors of $100 or more will be listed here
Full Name
First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
How many children (ages 4-13) @$25 each?
Comments?
Donation / Sponsors Donations $100+ will be listed as event sponsors

$54$100$180$360$540$800$1000$1800$3600
Total

$0.00
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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