RSVP Form Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Number of Adults* $36 Per person I would like to help sponsor $36 (1 Entree into Split The Pot Raffle)$54 (2 Entrees into Split The Pot Raffle)$100 Donuts Sponsor (5 Entrees into Split The Pot Raffle)$180 Latkes Sponsor (10 Entrees into Split The Pot Raffle)$360 Chanukah Sponsor (25 Entrees into Split The Pot Raffle) Payment* Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Total $0.00 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.