Bat Mitzvah Family Shabbat Dinner 2018

 
Friday June 1st 2018

Bat Mitzvah Girl First Name:
Bat Mitzvah Girl Last Name:

Please indicate number of attendees:
Bat Mitzvah Girl $35.00
Adults (12+) $58.00
Children (5-12yr) $35 .00
Children (3-5yr) $25 .00
Children (under 3) No charge

Total no. of attendees:

Total amount owing: $

Subsidies available if necessary, please contact Reuvi

Please provide a contact number we can reach you on:
Please note if there are any Allergies, Vegetarian, Gluten free or other meals and how many are needed :



Please provide payment details below

SECURE ONLINE PAYMENT

Mastercard LogoAmex Logo

Welcome to our secure online payment system - pay online 24 hours a day, 6 days a week. It's that simple!

Simply fill out the form below and click the button to submit your payment.

*denotes a required field.

TOTAL $

*Method of Payment:

Type of Card:

*Name On Card:

*Card Number:

*Expiration Month: *Year:

Before pressing the "submit" button, press the "Print" button on your browser to print this page for your records.