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Holiday Registration

Holiday Registration

Programming Registration Form

First Name

 

E-Mail

Last Name

 

Phone

 

       
Program You Are Registering For
Chanukah   Purim Palooza - $10 per person
Pesach
Adults $45 | Children under 12 $18
  Shavuot
Friday Night Dinner
$8 per person
     
         
Payment
CC Type   Card Number
Numbers only, no spaces or dashes
Billing Address   City, State, Zip
Charge Amount
Numbers only, no additional character
$   Exp Date
CVV

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