Event Reservation Form

Shavuot To Go Order Form

Please add the number 1 in each relevant "Amount" box below.

Order Details	Amount	Cost
Shavuot To Go Package		0.00
I'd like a kids acitvity included		0.00
I plan to pick up on Wednesday, 5/27 5-7PM		0.00
I can Volunteer to Deliver if needed		0.00
Total

Your Contact Information

Contact Information

Title

First Name

Last Name

Address

City

State

Zip

If ordering for someone else, please include their information here

Reservation Amount

If you'd like to partner with us in this project please see sponsoship options below. Your support is greatly appreciated!

Total Amount

Optional Donation Payment Information

Card Type

Card Number

Card Expiration

Security Code

Same as above

Name on Card

Billing Address

Zip Code