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Holidays Passover Passover Seder

Reservation Form

Community Passover Seder Reservation Form
Full Name*
First Name Last Name

Address*

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

Phone Number*

Area Code Phone Number
E-mail*
Total Number of Attendees*
Number of Adults* $35 each
Enter 0 if not applicable
Number of Children* $20 each
Enter 0 if not applicable
Number of College Students* Suggested $20 each*
Enter 0 if not applicable
*Payment is completely optional for full-time CSU/university students however hosting the Seder is costly so we appreciate if you or your parents are able to help with $20 or any amount in defraying our costs. If you can not help, just select the "Student" option in the payment section and you will be able to complete your registration without payment.
College Students Details *

FreshmanSophmoreJuniorSeniorGradAlumni
Community Member Details*

General CommunityFamilyCSU FacultyYoung ProfessionalCSU StaffRetired
I'd like to sponsor someone who cannot afford to pay by making a donation

$
I would like to be a Seder Sponsor for $180

Yes
Are you Jewish or just interested?*
Payment form (Secure form)
No one turned away for lack of funds. Limited number of subsidies available. Please email us for details.
Total

$0.00

I would like to pay today:Full amount$0.00 minimum$
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

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Postal / Zip Code

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