TBT 10th Anniversary

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Your Name(*)
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Email(*)
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(Please provide the names in your group using Enter key between names. No commas needed)
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Number of Adults(*)
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Number of Children Age 6-12(*)
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Number of Children 5 and under(*)
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TOTAL ATTENDING

Do you want to order vegetarian option (black bean burgers)?(*)
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How many black bean burgers?(*)
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Your Dinner Amount is calculated below based on: Adults at $20 each; Children 6 - 12 at $12.50 each; Children 5 and under are no charge
CALCULATED DINNER AMT $

We appreciate any donation you can add to help those needing financial assistance in order to attend.
Donation $
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TOTAL PAYMENT $

Payment Option(*)
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After completing your reservation information, click "Submit Form" and you will get a Thank You message where you will be able to access our payment screen for making your credit card payment.
After you click "Submit Form", please wait for the "Thank You" page; this may take a minute. Click only once to avoid multiple reservations.
If paying by check, you can send your check payable to Temple Beth Tikvah, P.O. Box 7472, Bend, OR 97708
Your payment must be received by May 11th. We cannot accommodate payment at the door.
After you click "Submit Form", please wait for the "Thank You" page; this may take a minute. Click only once to avoid multiple reservations.
Enter the security code (if you can't read numbers, hit "Refresh" to try a new set)(*)
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