PLEASE RSVP BY WEDNESDAY NOV 29

Chanukah Fun-Fest!

First Name of Parent *

Last Name of Parent *

Phone Number *

Email *

Street Address *

Postal Code *

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

Attending Child - Name & Age

Comments or questions

Tickets - $3 Per Child *

One Child - $ 3.00

Two Children - $ 6.00

Three Children - $ 9.00

Contribution - $ 36.00

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