CTeen Shabbat Dinner

Name of Teen*
First Name Last Name
Name of Parent*
First Name Last Name
E-mail of Parent*
How many people will be attending* The entire family is invited!
I would like to help cover the cost of the Shabbat Dinner!

$180 - Sweet Tooth (Dessert) Sponsor$180 - Florals & Decor$360 - Wine & Drinks Sponsor$540 - Shabbat Dinner Co-Sponsor$1000 - Shabbat Dinner Sponsor
Volunteer Opportunity

I/We are available to assist with setup or preparations

Thank you!

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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