This form is currently closed. Community Dinner in the Sukkah Friday Night, Sep. 25 7:30 pm Dinner My Information First Name Last Name Email Address Please add me to your Email list Phone Number Number of Adults Attending ($42 ea) 1 2 3 4 5 6 7 Number of Children Attending ($20 ea - under 12yrs) 1 2 3 4 5 6 7 Co-Sponsor $500 (Includes family of 5) Sponsor $1,000 (includes family of 7) Payment Information Credit Card Type Visa Mastercard American Express Name on Card Credit Card Number CVV Security Code What's this? Exp. Date 01 02 03 04 05 06 07 08 09 10 11 12 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Amount to be Charged Billing Address Zip Code