Dinner RSVP

Shabbat Dinner - Reservation
June 28, 2017

419 East 77th Street

Candle lighting: 7:57 pm

Services: 8:00 pm

Dinner 9:00 pm
Full Name

First Name Last Name
E-mail
Phone Number

- Area Code Phone Number

RSVP:

Adult $ 36.00

Quantity

Child $ 18.00

Quantity

Total: $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: