Friday Night Dinner Registration

Friday night, June 17 2016

with guest speaker Rabbi Yitzchak Miller

First Name *

Last Name *

Spouse

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Sponsorship (includes Friday night dinner for 2)

# of ADULTS ($21 a person)

Names of adults attending

# of CHILDREN (12 and under) ($12 a child)

Names of children attending

Additional Donation

Current Total:

$0.00

CONTINUE FOR PAYMENT METHOD

(YOU CAN USE PAYPAL WITH A REGULAR CREDIT CARD EVEN IF YOU DO NOT HAVE A PAYPAL ACCOUNT)