Family Time Shabbat

Family Time Shabbat

Saturday Mornings@Temple Sinai
Non-Member Families: $18

Your Information

First name:

Last name:

Email:

Mobile phone number:

Are you a Temple Sinai member?

YesNo

How did you hear about this event?

January 10

January 17

Will an additional adult be joining you?

YesNo

Adult 2

First Name:

Last Name:

Email:

Mobile Phone Number:

How many children will be joining you?

1. First Name:

1. Last Name:

1. Age

2. First Name:

2. Last Name:

2. Age

3. First Name:

3. Last Name:

3. Age

4. First Name:

4. Last Name:

4. Age

Are there any dietary restrictions among those attending?

YesNo

Please indicate adult/child's name and dietary restriction below

Total Fee

$

CAD

Invoice Req'd

YesNo

🔒 Credit Card Payment Information

First Name on Card

Last Name on Card

Credit Card Number

Visa or MasterCard

Expiration Month

Expiration Year

CVV

Billing Address

Billing City

Billing Province

Billing Postal Code

Country

Authnet_Hidden_Fields

January Outreach ID

Jan outreach

YesNo

Jan Invoice

YesNo

notification to:

notification to accounting

Designation ID

Invoice Name

Invoice description

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Contact Information