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2024 Passover Seder
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First Name
*
Last Name
*
Mobile Phone
# of attendees - Adult Member
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1
2
3
4
5
6
$72 - Early Bird until April 10
$100 - Regular price
# of attendees - Child Member (ages 12 and under)
0
1
2
3
4
5
6
$36 - Early Bird until April 10
$50 - Regular price
# of attendees - Adult Non-Member
0
1
2
3
4
5
6
$90 - Early Bird until April 10
$118 - Regular price
# of attendees - Child Non-Member (ages 12 and under)
0
1
2
3
4
5
6
$45 - Early Bird until April 10
$59 - Regular price
*
In the box below, please list full name (first name + last name) of each person included with this registration. Please also indicate the age for each child.
Special dietary needs (Please include the name of the individual and as much information as possible):
Seating Requests - please include up to 4 names of people you would like to sit with at the Seder^^
^^Please note: we will do our best to accommodate all requests and appreciate your flexibility and understanding; if more than 4 names are provided, only the first 4 confirmed attendees listed wil be considered. Thank you.
TOTAL
Please check total before submitting this form.
Credit Card Convenience Fee: Please consider adding to your payment the amount to cover the Credit Card Convenience Fee to help offset processing costs. Please note: if you pay via E-check, there is no convenience fee.
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Sat, November 23 2024 22 Cheshvan 5785