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Community Programs

Community Shabaton RSVP

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Full Name*
First NameLast Name
E-mail*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area CodePhone Number
Fee:
Dinner: $50 per family
Luncheon: Your discretion
Sponsorship: $250
Number of Dinner Attendees:*
Number of Luncheon Attendees:*
Yes, I would like to be a sponsor for this event- $250.
Total to Charge:*
Total
$0.00

Payment

Credit Card

Credit Card Type
- Credit Card Number	Security Code
Name on Card

/ Expiration MonthExpiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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