The Shabbat Event Goes Virtual - Form - Beth Torah Benny Rok Campus

The Shabbat Event Goes Virtual

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* First Name

* Last Name

* email address

* Home phone

* Mobile

* Address

* City

* State

* Zip

Adult Ticket - $75

Children 3-12 - $25

I cannot attend but would like to make a donation in the amount below:

Total

Please enter the information below for guests not yet registered:

First Name

Last Name

Email

Phone Number

First Name

Last Name

Email

Phone Number

First Name

Last Name

Email

Phone Number

First Name

Last Name

Email

Phone Number

Delivery Address (November 6th, 12:00 pm - 4:00 pm)

Delivery Phone Number

Sun, January 24 2021 11 Shevat 5781