Printed from ChabadMinneapolis.com

JLI 5778

JLI 5778

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 Contact Information
     
First Name 
Last Name 
Address 
City 
State 
Zip 
Phone
Email 
 
     
 Attendance
   
  - Chinese Dinner (Free)     
Amount of people attending 
I would like to be a sponsor    ($36 $50 $180, other)
 
 Payment
   
check or cash     credit card  
   
Total Amount 
Card Type 
Card Number 
Exp. Date 

3 digits on back of card
 

Comments 

 

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