Chanukah YJP DRINKS & DREIDELS

Information

First Name *

Last Name *

Street Address *

City *

Postal Code

State (Home) *

Email (Primary) *

Phone *

How did you hear about us?

Anything we need to know allergy related or otherwise?

How many children?

How many adults?

Event Fee(s)

Advance After 12/20

$30.00
How many people?

At the door

$35.00
How many people?

Committee Sponsor

$360.00
Ticket included

Dreidel Sponsor

$500.00
Includes 2 people

Menorah Sponsor

$770.00
Includes 4 people

Corporate Sponsor

$1,800.00
Includes 8 people

Extra Tzedakah

Any extra donation can really help!

Total

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code