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Sponsor a Kiddush

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Full Name*
First Name Last Name
E-mail*
Phone Number*

Address*

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

Kiddush Sponsorship
Date of Kiddush*

Month Day Year
Kiddush Options:*

Kiddush Sponsor - $360Co-sponsor - $180
Dedication
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