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NYC Shabbaton Reservation Form

NYC Shabbaton Reservation Form

Shabbat in the Heights!

Dates:

Admission:
Cost Per Person - $CAD

Please use following form to register.

  Name
Man
Woman
Phone Number
1.
2.
3.
4.
5.

Please use the following form for payment:

Personal Information
Title Province    
First Name Postal Code
Last Name Country
Address Phone
City Email Address
mm/yy
$

Please call me for payment arrangements

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