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RSVP Community Hakhel Shabbaton

1. Your Infomation
Full Name*

First Name Last Name

Address

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

E-mail*
Phone Number*

Area Code Phone Number
2. Reservation
Adults
Children
Guest 1

First Name Last Name
Guest 2

First Name Last Name
Guest 3

First Name Last Name
Guest 4

First Name Last Name
Guest 5

First Name Last Name
Any Comments / special requirements
3. Couvert: $75
Amount

$
Total

$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

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