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* Preferred Email Address

* First Name

* Last Name

Guest Name/s (please list all attending)

# of Adult Temple Members ($10 per adult)

# of Children ($10 per child)

# of Guest Adults ($15 per adult)

Family Plan ($50 per family)

Total Amount

Vegetarians

# of Vegetarian

If not a member of Temple Am Echad, please provide your address and phone number here

Sat, December 21 2024 20 Kislev 5785

Temple Am Echad
1 Saperstein Plaza, Lynbrook, NY 11563
(516) 593-4004 • office@am-echad.org

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