Rosh Hashana Dinner

ROSH HASHANA DINNER

How many people are you registering? *

(including yourself)

Registration Info

First Name *

Last Name *

Email Address *

Phone *

Street Address *

Supplemental Address 1

City *

State *

Postal Code *

Please select number of people attending

Number of Adult/s *

Number of Child/Children

Sponsorship Opportunities Available

Sponsorship Amount

1 - $ 1,800.00

2 - $ 540.00

3 - $ 360.00

4 - $ 180.00

- none -

Other Sponsor Amount

Sponsor Donation in Honor/Memory Of

Total for this participant