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Register for Shabbat Dinner & Game Night

Please complete the form below to register for The Sixth Point's Shabbat Dinner & Game Night on Friday, January 12, 2018.

Your Info

Name

First Name

Last Name

Verify Email

Address (it's fun to get mail!)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Call me, maybe

Date of Birth

Don't expect a cake.

Payment Amount

$15 - one adult

$30 - two adults

Additional Guest's Name

First Name

Last Name

Additional Guest's Email

Verify Email

How did you hear about Shabbat Dinner & Game Night?

Check all that apply.

Facebook

GrapeVine

Friend

Other

OPTIONAL: Add 3% to my total amount to help cover the payment processing fees.