First Fridays Shabbat Dinner!

 

Last Name:

First Name:

Adults Attending:

Children Attending:

Sponsoring

 Yes, I would like to give $18 per adult and $15 per child

 Yes, I would like to be a sponsor for $180

 Yes, I would like to be a sponsor for $360

Yes, I would like to be a sponsor for $540

I would like to sponsor a different amount:

In honor of In memory of

All contributions are tax-deductible

Credit Card Information:

Card Type:

Name On Card:

Address:

City:

State: Zip:

Phone:

Email:

Card Number:

CVV Security Code:

Expiration Date: Month: Year:

Comments: