Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Shabbat Friday Night Dinner, May 15 Adults $25 per adult Children $18 per Child Veteran Veteran, Free I want to sponsor a Veteran $25 USD$50 USD$108 USD$180 USD$360 USD Total Charge $0.00 USD Payment Method Credit Card Paypal eCheck Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Bank Name Routing Number Account NumberCheckingSavingsBusiness Account TypeMail Check payable to JUSA I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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