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Shabbat Dinner Reservation

We are so thrilled to be joining together for Shabbat Dinner on Friday, March 5 at 6:15 PM! Artie and his kitchen crew will be hard at work preparing meals. Cost is only $10 per person, and kids up to 7th grade are $5/each.

Please fill out the information below and submit this form with payment by February 28. (No exceptions, please; The crew needs to shop and prep for this event.)

* Name

* Email address

Please provide your telephone number

* Total number of Adult meals

Total number of kids' meals

* Total payment $

* Please choose your pickup time from the drop down:

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Please select Yes if you would like to increase your donation by 3% to cover the card fees.

Total: