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Chabad Westwood

Pesach Seder RSVP

Full Name*

First Name Last Name

Address

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

Phone Number*
E-mail*
First Seder (APRIL 19):
Adults

$36 per Adult/Seder
Children

$18 per Child/Seder
Second Seder (APRIL 20 ):
Adults

$36 per Adult/Seder
Children

$18 per Child/Seder

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Expiration Month	Expiration Year

Please don't let finances hold you back from attending. Simply email [email protected] and let him know how many will be attending.
Sponsor:

$360 $180 $36 $18
Total

$0.00
Comments:
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