CHANUKAH DINNER RESERVATION FORM

Chanukah and Shabbat Dinner Celebration
Reservation Form

Join Our Community for a Festive
Chanukah- Shabbat Evening Celebration!

Friday, December 7th
6:00pm Festive Chanukah-Shabbat Dinner
Enjoy a delicious Chanukah meal catered from Woodbury Kosher, with something for everyone (kids and vegetarian options too), and of course, LOTS of LATKES!

Bring Your Own Chanukiah (Chanukah Menorah) for a United Candle Lighting at Dinner!
Come Yourself, With Friends or Bring the Whole Family! All are Welcome!

Catered Dinner Fees: $22/adult; $16/teen (13 to 18); $10/child (6 to 12); 5 and under are free

Dinner is followed by

7:30pm Musical Chanukah Shabbat Service
with Rabbi Bravo and Cantorial Soloist Rory Michelle
We will be celebrating Alex Berko becoming Bar Mitzvah and
December birthdays and anniversaries.

For adults, there will be wonderful Chanukah sharing and singing.
For children, there will craft tables during dinner and the oneg shabbat.

MakomNY at Bethpage Worship Center
600 Broadway, Bethpage, NY

In celebration of Chanukah, please bring holiday donations for those in need:
NEW hats, gloves, scarves and socks (cotton and wool) for adults, teens and children and cotton undershirts for men. These items will be donated to those in need at a local shelter.

Contact Name *

First Name Last Name

Contact Email *

example@example.com

Select Number of Adults ($22/adult)

Please select from drop-down menu

Select Number of Teen Attendees ($16/teen 13 to 18)

Please select from drop-down menu

Select Number of Children 6 to 12 years old ($10/Child 6 to 10 years)

Select Number of Children 5 years and younger (No cost)

Please List the Names of ALL Attendees (Adults and Children) to Be Included on Your Reservation. *Please note the ages for all children

Adult Reservations	${adultsDinner}
Teen Reservations	${teensDinner}
Children (6 to 12)	${children6}
Total	${dinnerTotal}

Adults Dinner

Teens Dinner

Children 6 to 12 Dinner

Dinner Total

Total Amount *

Total ( USD one-time payment.)

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country