Purim Seudah

6:00 PM - 9:00 PM

* First Name

* Surname

* Address

Apt/Unit

* City

* Postal Code

* Email

* Phone

MEMBER Adult $47

13 years old and older

Name(s) of attendees MEMBER ADULT

PLEASE LIST 1 NAME PER LINE

MEMBER Child $28

Child: 4 -12 years old

Name(s) of attendees MEMBER CHILD

PLEASE LIST 1 NAME PER LINE.
PLEASE INDICATE THEIR AGE NEXT TO THEIR NAME.

MEMBER Baby $0

Baby: 3 years or younger

Name(s) of attendees MEMBER BABY

PLEASE LIST 1 NAME PER LINE

NON-MEMBER Adult $57

13 years old and older

Name(s) of attendees NON-MEMBER ADULT

PLEASE LIST 1 NAME PER LINE

NON-MEMBER Child $38

Child: 4-12 years old

Name(s) of attendees NON-MEMBER CHILD

PLEASE LIST 1 NAME PER LINE.
PLEASE INDICATE THEIR AGE NEXT TO THEIR NAME.

NON-MEMBER Baby $7

Baby: 3 years or younger

Name(s) of attendees NON-MEMBER BABY

PLEASE LIST 1 NAME PER LINE

Special Food Requests

E.g. Allergies, Vegetarian.

Please Seat With

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Mon, 24 February 2020 29 Shevat 5780