Hollywood Havdalah 2023-24

* Last Name

First Name

* Number of Adults Attending

* # of Kids age 7 & under

Names of Attendees

* Email of Primary Contact

Phone number

Donation to help cover the cost of the meal:

$20 for each family

A family is children from your family and up to two special adults.

AND/OR

For just your family select per family or per individual; if you are inviting another child or family (not from your immediate family) use both columns.

$5 per guest

This is meant for friends you invite that are adults (beyond the 2 included in the family unit) or additional kids (that are not family members).

Consider making a donation towards programming...

The requested donation does not cover the total cost of this program. Please consider making a contribution also, if you are able and willing! Only these contributions are tax deductible.

Total charge: (# of families @ $20 and extra guests @ $5 each) + your tax deductible donation

If you have a problem with your completed form's submission please check to see that you have filled out all questions that have an asterisk. Additionally, if you are a member, it is helpful to go to the form after you have opened your account so that the system recognizes you.

Mon, December 2 2024 1 Kislev 5785

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Phone: (708) 366-9000 | Fax: (708) 366-9006 | Email: office@wsthz.org | 1040 North Harlem Avenue, River Forest, IL 60305

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