Community Seder Registration 2008
Saturday- April 26 @ 6PM
Please Note: Seats can only be reserved once payment has been received!
All Purchases are FINAL and cannot be refunded.
Email:
Billing Name:
Billing Address:
City:
State:
Zip:
Telephone Number:

Adult $20 /Child $15 (12 and under) Please Check one per line.
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:
Adult Child
Name:

Your total due is:
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Please insure the total and checkboxes are correct!

To pay by CHECK, please print out the form and mail or deliver to:

Tikvat Israel Messianic Jewish Congregation
2715 Grove Avenue
Richmond, VA 23220
Tel. 804.355.5709
 

Please take note of the total due.
You will need to enter this amount in the PayPal screen.

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Tikvat Israel Messianic Jewish Congregation