Shabbat Dinner - Israeli Style | www.jewishhamden.org

Your Information

First Name *

Last Name *

Email *

Phone *

Street Address *

Postal Code *

Additional Attendees

I am interested because:

I am Jewish

I am not Jewish; I have Jewish friends

I am not Jewish; I feel aligned with Jewish holidays & customs

Dinner Registration

Dinner Registration for Adults

Dinner Registration for one - $ 30.00

Dinner Registration for two - $ 60.00

Dinner Registration for three - $ 90.00

Dinner Registration for four - $ 120.00

Dinner Registration for Children

Dinner Registration for one - $ 15.00

Dinner Registration for two - $ 30.00

Dinner Registration for three - $ 45.00

Dinner Registration for four - $ 60.00

Additional amount

Total

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code

info@jewishhamden.org | 203-684-6424 | P.O. Box 185641 Hamden, CT 06518