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Holiday Events Chanukah events/programs

Pre Chanukah & Chanukah Events Registration Form

Pre Chanukah & Chanukah Events Registration Form

Pre Chanukah & Chanukah Events Registration Form
Full Name
First Name Last Name
E-mail

Address

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

Phone Number
Chanukah Celebration & Menorah Lighting @ The Canyon Store Sunday December 14th
Chanukah Dairy Delight @ Trattoria Natalie Tuesday December 16th
Chanukah Festival Thursday December 18th
Suggested Donation/Sponsorship Options

$18$36$50$100$180$360$500
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
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Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Programs