Community Shabbat Dinner - JRCC East Thornhill

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Full Name*
First Name Last Name
Phone Number*

Area Code Phone Number
E-mail
Amount of Adults*
Amount of Children Ages 2-9
I will pay* Subsidized price available until Sunday January 14

Cost price of $70/adult and $45/childSubsidized HALF price of $35/adult and $22.50/child
I'd like to add a donation Tax receipt will be issued

Payment*

Credit Card

We accept Visa, MasterCard, American Express
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Expiration Month	Expiration Year

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