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Passover Community Seder

Community Seder RSVP Form
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Adults ($40 per adult):
Children 5-13 yrs ($18 per child):
Children 0-4 yrs (Free)
Dietary Restrictions:

VegeterianFood Allergies (Please specify in the comments box).
Wine Selection:
I would like to make a meaningful contribution towards Chabad's $15,000 Passover budget:

$180$360$540$1001$1800$3600
In Honor/Memory of:

0/100
Comments:
Total

$0.00

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