Congregation B'nai Israel

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for registering for Shabbat Across America, to be held on Friday, February 28, 2020 at Congregation B'nai Israel, 171 Ridge Rd., Rumson, NJ. This event is open to the entire community so feel free to invite friends. The service starts at 6pm and dinner starts at 7pm. Reservations for the catered dinner are a must by February 21 - the caterer will be Lox Stock & Deli. We look forward to seeing you there.

Qty

Description

Amount

Total

Adult(s) (age 13 and older)

$25.00

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per adult

Child(ren) (age 3 - 12)

$12.50

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per child

Babies up through 2 years - FREE

$0.00

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Family price - including 2 adults and 2 or more children

$75.00

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Total: $0.00

To ensure an accurate head count, please include the number of adults and children
that will be attending.

Number of Adults: *

Number of Children: *

Special Accommodations, if any:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date: