Simchat Torah Registration

Full Name*
First Name Last Name
Phone Number*

Country code Area Code Phone Number
E-mail*
Please choose the amount of guests.

No one will be turned away due to lack of funds. Everyone is welcome regardless of finances.

The subsidized prices are for released soldiers and children under 12. Additional subsidies subject to availability. Any donations will be appreciated.
THIS SECTION IF YOU WANT TO RESERVE ALL MEALS
Adults $240 per person
חיילים / children under 12 $110 per person
THIS SECTION IF YOU WANT TO RESERVE INDIVIDUAL MEALS
Shemini Atzeres Night
Adults $40 per person
חיילים / children under 12 $20 per person
Shemini Atzeres Day
Adults $40 per person
חיילים / children under 12 $20 per person
Simchas Torah Night
Adults $40 per person
חיילים / children under 12 $20 per person
Simchas Torah Day
Adults $40 per person
חיילים / children under 12 $20 per person
Shabbos Night
Adults $40 per person
חיילים / children under 12 $15 per person
Shabbos Day
Adults $40 per person
חיילים / children under 12 $15 per person
Please list any dietary restrictions or allergies if applicable
Are you able to help subsidize some of our costs with an additional donation? Type amount in the box

$ USD
Total

$0.00 USD
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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THIS SECTION IF YOU WANT TO RESERVE ALL MEALS