Passover Seder Registration

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Are you a member of Temple Emanuel?

Yes

How many people are you registering?(Required)

Please list the names of all additional registrants below

Click + on the right to add multiple

First Name

Last Name

Are they a TE Member? (Y/N)

Total number of chicken meals needed

Total number of vegan meals needed

Please list any dietary restricitions and the name of the individual below

Community Passover Seder Adult Member Ticket(s)

Price: $80.00

Community Passover Seder Adult Non-Member Ticket(s)

Price: $100.00

Community Passover Seder Child Ticket(s)

Ages 12 and under

Price: $36.00

Community Passover Seder Young Child Ticket(s)

Ages 2 and under

Price: $0.00

Convenience Fee

Price: $0.00

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Community