COMMUNITY SHABBAT DINNER @ CSU

Friday, November 9 7PM 

CSU Lory Student Center - Main Ballroom 

RESERVATION FORM

Name

Address

Phone     Email

 

# of Adults @ $12     # of Children @ $8      Sponsor @ $72 

 I would like to make a donation in the amount of  to help pay for someone that cannot afford.   

I would like to pay via:

 Check       Credit Card     

Total Amount:  

Card type:   Card Number  

Exp.         CVV   

Street:  City:  Zipcode:  

Please add 3% to my total to help cover credit card processing charges.