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2025 Passover Seder
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First Name - Person Submitting Registration
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Last Name - Person Submitting Registration
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E-mail Address
Please enter a valid e-mail address;
confirmation will be sent to this e-mail address
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Mobile Phone
Temple Beth El
Members
# of attendees - Adult Member
0
1
2
3
4
5
6
$100 per adult
# of attendees - Child Member (ages 12 and under)
0
1
2
3
4
5
6
$50 per Child
Member #1
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First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member #2
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member #3
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member #4
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member #5
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First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member #6
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First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Member-Child #1
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Member-Child #2
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First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Member-Child #3
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First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Member-Child #4
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Member-Child #5
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Member-Child #6
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Temple Beth El
Non-Members
# of attendees - Adult Non-Member
0
1
2
3
4
5
6
$118 per Adult
# of attendees - Child Non-Member (ages 12 and under)
0
1
2
3
4
5
6
$59 per Child
Guest #1
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First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest #2
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First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest #3
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest #4
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest #5
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest #6
*
First Name
*
Last Name
Special dietary needs (Please include as much information as possible):
Guest-Child #1
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Guest-Child #2
*
First Name
*
Last Name
*
Age
*
Special dietary needs (Please include as much information as possible):
Guest-Child #3
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Guest-Child #4
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Guest-Child #5
*
First Name
*
Last Name
*
Age
Special dietary needs (Please include as much information as possible):
Guest-Child #6
*
First Name
*
Last Name
*
Age
*
Special dietary needs (Please include as much information as possible):
Seating Requests - please include up to 4 names of people you would like to sit with at the Seder^^
^^A note regarding seating requests:
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 will 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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Wed, April 2 2025 4 Nisan 5785