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Seder Reservations

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Full Name*
First Name Last Name

Address*

Street Address
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Postal / Zip Code	Country

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Phone Number*

Area Code Phone Number
I am a Newcomer/Visitor:*

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Prior Chabad Rabbi or current Chabad congregant reference or prior synagogue reference:*
First Name Last Name
References Phone Number:*

Area Code Phone Number
Number of Adults Attending:* $75/ Adult
Number of Children Attending:* $36/ child (ages 11 and under)
Number of Students Attending: $36/student
Names of Attendees*
Food Preference*
Sponsorship Opportunities

Freedom Sponsor: $3,600Passover Pillar: $1,800Seder Sponsor: $1,000Shmurah Matzah Across WNC: $540Elijah’s Cup Sponsor: $360Haggadah Sponsor: $180Holiday Contribution: $100
Total

$0.00

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