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Teen & Family Shabbat Dinner

Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
$18/Adult ▪ $10/Teen

After 4/3 - $24/Adult ▪ $15/Child
Amount of Adults*
Amount of Teens
Total to charge*

$

Payment*

Credit Card Check

Postal / Zip Code

Country

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