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)