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Rosh Hashanah Services

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

Area Code Phone Number

Address*

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

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Number of children attending:
There is no charge to attend services but donations are appreciated.
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We accept Visa, MasterCard, American Express, Discover
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Expiration Month	Expiration Year

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