YOUR INFORMATION First Name Last Name Phone RESERVATION INFORMATION 1 2 3 4 5 6 7 8 9 Adults 1 2 3 4 5 6 7 8 9 Children Dates Oct 26 Nov 23 Dec 28 Jan 25 Feb 22 Mar 22 Kiddush Sponsor Please Contact Me about Sponsoring or Cosponsoring the Shabbos Kiddush
