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Seder Reservation Form
(Please Reserve in advance)

Personal & Reservation Information
*Denotes required field


Name*  :


Phone Number*:

Address* :

   State*:     Zip code *:


I/we would like to attend the Passover Seder:

Names of Adults:                               Names of Children:

The 1st Night of Passover - Motzei Shabbat, March 27th

The 2nd Night of Passover - Sunday, March 28th

Both Nights - March 27th & 28th

Please help us cover costs for the Seder with your additional donation of any amount. No one is turned away due to lack of funds.

I would like to help co-sponsor the Passover Seder - $250

I would like to help sponsor the Passover Seder - $500

In addition I would like to donate . In the weeks preceding Passover, it's customary to assist needy families by providing them with funds for their various Holiday expenses and purchases. Rabbi Gansburg will represent you in your acts of charity.

The Seder will be taking place both nights following the services at 8:00pm.

3700 Coconut Creek Parkway - Coconut Creek, FL 33066

# of Adults attending at $54.00 each (13 and over)

# Of children attending at $36.00 each (12 & under) 


  Payment Information:

Card Type:  

Name on Card: 

Card Number:    

CVV Security Code: 

Expiration Date: 

Total Amount: 


Questions or Comments: 

For information please contact us at 561-929-8587 or email  [email protected]


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