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100th Anniversary Mesiba Registration
Contact Information
Name
*
First Name
Last Name
Who else will be attending with you?
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Total number in your group
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Address
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Suggested price for attending
Quantity
$100
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Recommended per person
0
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10
$52
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Lake Marie Road
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9
10
10
$36
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(ChaiX2)
0
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10
$14
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North American kibbutzim of Hashomer Hatzair
0
1
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10
other
$
Dietary restrictions and needs
select one
Vegetarian
Vegan
Pescetarian
Allergy to nuts
Other - you will be contacted
Add 3% to my total amount to help cover the payment processing fees