Ethiopian Jewish Heritage Night Request Form (2024)
Dear Friends: Please fill in the number of seats required. ***Seating is limited***. Please note that payment is required to confirm your reservation for this event. Thank you.
Our services and events are accessible to people with disabilities.
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Memo:
Individual Adults (non-family)
If you are attending as part of a family, mark "0" for this section).
$20 per person
*
Number of Seats
0 (Does not apply)
1 (Individual - non family Adult)
2 (Individuals - non family Adult)
3 (Individuals - non family Adult)
4 (Individuals - non family Adult)
5 (Individuals - non family Adult)
Families (non-individual)
(if you are an individual attending by yourself, mark "0" for this section).
$60 per family (Please specify number of Families)
*
Please Select
0 (Does Not Apply)
1 Family
2 Families
3 Families
4 Families
5 Families
(For Families) Please specify number of Adults
*
Please Select
0 (Does Not Apply)
1
2
3
4
5
6
7
8
9
10
(For Families) Please specify number of Children
*
Please Select
0 (Does Not Apply)
1
2
3
4
5
6
7
8
9
10
Check the box to add a convenience fee of 2.5%
Accept
Seats without Fee
Fee
Total
My Seats
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next
( X )
USD
Please verify that you are human
*
Submit
Should be Empty: