SHABBAT 200 RESERVATION FORM Welcome to the Shabbat 200 registration page! We are so excited that you will be part of the largest Shabbat dinner in all Northern Colorado! Remember, the Shabbat dinner will begin PROMPTLY at 7:00 in the Main Ballroom of the Lory Student Center, on Friday, November 9, so please make sure to be there at that time! Whilst there is no dress code required most choose to dress more formally as it is Shabbat dinner and a fancy event! Please fill out the entire required reservation form below: Name First Last Address Back Home (not school address) Street Address Address Line 2 City State / Province / Region Postal / Zip Code United States United Kingdom Australia Canada France New Zealand India Brazil ---- Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Cell ###- ###- #### Email Graduating year Alumni 2018 2020 2019 2022 Graduate Student Faculty Friend Greek Life? What house? Are you: Jewish? Just Interested? Total number of attendees If you have been recruited for Shabbat 200 by someone, please indicate the appropriate name below. If you are signing up on your own, just leave blank. Table Host PLEASE COMPLETE THIS QUESTION: How did you hear about this event? Email Flyer Table Card Newspaper Ad Facebook Friend Other (please specify in comment box) Comments Please remember that due to space limitations CSU, UNC & FRCC students, alumni, staff and faculty are given the priority for seats. HELP US MAKE THIS EVENT HAPPEN! Optional donation: $5 $10 Other Would your parents/family like to make a donation to help us cover costs for this free event? Sponsor @ $100 Any Amount: TOTAL AMOUNT: I would like to pay via: Check Credit Card Card type: Please select Visa Mastercard American Express Card Number Exp. Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2015 2016 2017 2018 2019 2020 CVV Address: City/State/Zipcode: Please add 3% to my total to help cover credit card processing charges. We look forward to seeing you! This page uses 128 bit SSL encryption to keep your data secure.