Event Reservation Form

CGI Shopping Cart

Merch Item	Number of Items	Amount	Total
Kippa		6.00
Small Backpack		10.00
Water Bottle Holder with Strap		5.00
Kid T - Shirt Short Sleeve XS		10.00
Kid T - Shirt Short Sleeve S		10.00
Kid T - Shirt Short Sleeve M		10.00
Kid T - Shirt Short Sleeve L		10.00
Kid T - Shirt Long Sleeve S		10.00
Kid T - Shirt Long Sleeve M		10.00
Kid T - Shirt Long Sleeve L		10.00
Adult T - Shirt Long Sleeve S		10.00
Adult T - Shirt Long Sleeve M		10.00
Total

Total

Donation Amount

Total Amount

*

	#	Merch Item	Campers First Name	Campers Last Name

Contact Information

Title

*

First Name

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Last Name

*

Address

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City

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State

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Zip

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Email

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Phone

*

Payment Information

Card Number

*

Card Expiration

*

*

CVV

*

Same as above

Name on Card

*

Billing Address

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Zip Code

*

Note