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R E G I S T R A T I O N   F O R M

Contact Info
Full Name   Address
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Email  

 

 
         
Reservations
 

Guest
Name(s)

Couvert    
$36 $54 (includes $18 donation)
     
Raffle Tickets  

Exquisite Judaica, Fine Jewelry, Pampering & Wellness Packages and more.
Raffle prizes will be featured at event. Drawing will take place at the conclusion of the evening.

Purchase Split The Pot tickets separately below. 

        
       

Sponsorship Opportunities

  Comments
Sponsor a Guest $36  

Silver Sponsor $180  
Gold Sponsor $360  
Event Sponsor $500  
     

Form of Payment

Card #:   Exp. Date
Total Amount   I will mail a check to:
Chabad of Oakland & Piedmont
3008 Lakeshore Avenue
Oakland, CA 94610

Questions? Call (510) 545-6770 or email: JWC@JewishOakland.com

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