I Am Registering For:
Adults:  
Children: (12 and under)  
   
First Name:  
Last Name:  
Phone:  
Email:  
 
Rates Per Person 
Adult: $60
Child: $40
Please consider an added donation to help others attend the Seder  
Credit Card Info 
Credit Card Type:
Card Number:
Exp. Date:
CVV:
Grand Total: