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Booking form: Pre-Shavuot Dinner 2022

Friday Night, June 3, 6:00pm- 9:15pm
Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
Number of attendees
Name of Attendee
Name of Attendee
Name of Attendee
Name of Attendee
Name of Attendee
Name of Attendee
Who would you like to sit with?
Do you or any of the attendees require support?
YesNo
If yes, please let us know what additional support you need
Number of Adults at $50 ea
Number of Children at $35 ea
Total
$0.00 AUD

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Optional donation amount
$ AUD
Suggested Donation - $50
OR
Sponsorship family of 2 adults and 2 kids - $170
Other
$50 AUD$75 AUD$100 AUD
Yes, I'd like to make this a monthly recurring payment.
Should be Empty:

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