Contact Info Last Name First Name Address City / State / Zip / / Phone Email Reservations How Many Reservations? 1 2 3 4 5 6 7 8 Guest Name 1 Guest Name 2 Guest Name 3 Guest Name 4 Guest Name 5 Guest Name 6 Seating Preference • Table Captain 1 - Shani Ben-Ishai (Full) 2 - Bonnie Boring (Full) 3 - Sandy Parker 4 - Michal Kaplan 5 - Stephanie & Karly 6 - Anna Iroff-Bailey 7 - Miriam Esther Wilhelm 8 - Jenny Wood 9 - Laura Floyd 10 - Jenifer Ohriner 11 - Dana Maman Couvert $25 per person $18 Teen Admission $100 Sponsor Other $ Payment Information Total to be Charged CC Type Please Select Visa Mastercard American Express Card Number Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2012 2013 2014 2015 2016 2017 2018 2019 Cvv Code Pay At Evnet Comments Baking Challah is a special Mitzvah designated for women and therefor an auspicious time to pray for loved ones or people in need. If you would like to submit a name for all attendees to mention in prayer Please write their Jewish and mother’s Jewish name if applicable. This page uses 128 bit SSL encryption to keep your data secure.
