Rosh Hashana Sep. 29th - Oct.1st Yom Kippur Oct. 8th - 9th.
When will you be attending
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Address, City, State, & Zip code.
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Email Address
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Additional Names:
Please fill out all of the Names of people attending. (and their contact information i.e. Phone Number, Address, and Email).
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Card Number
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Expiration Date
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CVC
Card verification code. On back of most cards. On the front of amex cards.
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Contribution Amount
($108 suggested Contribution pp)
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We would like to Donate
(in addition to the suggested contribution)
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