Band is Back - June 2023 - Form - Shaare Zion Beth-El Congregation

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Band is Back - June 2023

Please verify reCaptcha before submitting the form.

Tickets:

SZBE & Shaare Zedek Members - $40
Non-Members - $50

* First Name

Please type your first name here.

* Last Name

Please type your last name here.

* Email Address

Please type your email adress here.

Mobile Phone Number

Please type your mobile phone number here.

Address

Please type your address here.

City

Please type your city here.

Province

Please type your post code here.

Postal Code

Please type your postal code here.

* Are you a SZBE or Shaare Zedek member?

How many adult members will be attending?

Adult 1 Full Name

Please enter name here.

* Meal Choice

Please Select OneChickenFishVegetarian

Adult 2 Full Name

Please enter name here.

* Meal Choice

Please Select OneChickenFishVegetarian

Adult 3 Full Name

Please enter name here.

* Meal Choice

Please Select OneChickenFishVegetarian

Adult 4 Full Name

Please enter name here.

* Meal Choice

Please Select OneChickenFishVegetarian

How many adult non-members will be attending?

Guest One Full Name

* Meal Choice

Please Select OneChickenFishVegetarian

Guest Two Full Name

* Meal Choice

Please Select OneChickenFishVegetarian

Guest Three Full Name

* Meal Choice

Please Select OneChickenFishVegetarian

Guest Four Full Name

* Meal Choice

Please Select OneChickenFishVegetarian

How many children 10 and under will be attending?

* Name - Child 1

Please enter name here.

* Child 1 Meal

Please Select OneKids ChickenFishVegetarian

* Name - Child 2

Please enter name here.

* Child 2 Meal

Please Select OneKids ChickenFishVegetarian

* Name - Child 3

Please enter name here.

* Child 3 Meal

Please Select OneKids ChickenFishVegetarian

* Name - Child 4

Please enter name here.

* Child 4 Meal

Please Select OneKids ChickenFishVegetarian

Would you like to sponsor a bottle of wine for a table?

Please Select OneYesNoBottle = $15

How many bottles of wine would you like to sponsor?

Total Cost.

Please disclose any allergies.

Please disclose if you would like Gluten Free or Vegan meals.

Please list the names of any other guests you wish to be seated with

Thu, 1 June 2023 12 Sivan 5783

SHAARE ZION BETH-EL CONGREGATION
5575 Cote St. Luc Road, Montreal, Quebec H3X 2C9
Phone: 514-481-7727 - Fax: 514-481-1219 - Email: info@szbe.org

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