Rosh Hashana Dinner Registration

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Wednesday October 2nd - 6:30 PM

Address Given Upon Registration

First name

Last name

Email

Phone

Number of Adults & Children registering for:

Adults

Child(ren)

Names of all people attending:

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Suggested donation - $25 Adult | $18 Child | $180 Sponsor

Make a donation

$

Thank you for registering!

This form no longer accepts submissions.

FARMINGTON CHABAD

rabbi@FarmingtonChabad.com

304 Main Street, Suite E613, Farmington, 06032 CT

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