Women's Shabbat Dinner

Registration Form:

Friday, January 26 , 2018

shabbat dinner.jpg

At the Epstein's home
  5:24 PM-Candlighting

6:00 PM Shabbat Dinner 

Name:

Email:

Phone:

I would like to attend the Women's Shabbat Dinner @ the Epstein's home. 

Please Check one:

Price: $25/pp

1 Adult: $25 2 Adults: $50 3 Adults:$75

Other:

 

I would like to help sponsor someone for this dinner, Please add:

$100    $50    $36    $18


Payment:

Please charge my credit card (CC info needed to submit form )

Credit Card information:

Visa Mastercard AmEx

Name on card:

Card Number:

Expiration date:

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