Shavuot

Challah Bake Registration

First Name *

Last Name *

Email *

Phone

Event Fee(s)

Shavuot Sponsorship

Bronze Sponsorship - $180.00

Silver Sponsorship - $360.00

Gold Sponsorship - $500.00

Platinum Sponsorship - $1,000.00

Event Sponsor - $1,800.00

- none -

I'd like to contribute additional amount

How many people will be attending?

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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