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Community Passover Seder

Join us for an elegant and thought provoking Pesach seder.
Fully engaging program for children
April 1st, 7:30pm
April 2nd, 7:30pm
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number

Address*

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

I/We would like to attend

First Night Seder (April 1st)Second night Seder (April 2nd)
First Night Seder Adults attending*
$36 per Adult
First Night Seder Children attending
$25 per Child
Second Night Seder Adults attending*
$36 per Adult
Second Night Seder Children attending
$25 per Child
I want to sponsor

$50 USD$75 USD$100 USD$180 USD
Total Charge

$0.00 USD

Payment Method*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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