Rethink Shul.

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Register for Yom Kippur Pre-Fast Banquet 2018

    Name*

    Street Address*

    City*

    Province/state*

    Postal code*

    Phone number*

    Email address*


    YOM KIPPUR PRE-FAST BANQUET Sept 18, 4:30 – 6:30 PM

    adults @ $95 each =

    Children 12 and under @ $50 each =

    Number of adults with special dietary needs:

    No Gluten:

    No Nuts:

    Vegetarian:

    Other:

    If you have filled out "Other", please explain:

    Number of children with special dietary needs:

    No Gluten:

    No Nuts:

    Vegetarian:

    Other:

    If you have filled out "Other", please explain:


    Payment Method*

    I will mail my cheque made payable to The Song Shul, 65 Queen Street West, Suite 440, Toronto M5H 2M5I will send a PayPal paymentI will send an e-transfer to info@songshul.com (please send secondary email with security answer)Phone me for credit card infoCharge my credit card below:VisaMasterCardAmEx

    Card number
    Expiry date
    Security code
    Name exactly as it appears on the credit card
    Signature
    Date

    I am paying by credit card and I authorize The Song Shul to charge my credit card. (3% will be added to credit card payments)