Community Shabbos Dinner! 

Friday Night, October 19, 2018
$18 per person, (Max. of $72 per family) 

Reservation Form:

How Many Guests
First Name
Last Name
Address
City
Post Code
Email


To pay by check mail to:
Peltz Center for Jewish Life
2233 West Mequon Road
Mequon, WI 53092

To pay by credit card:

Card Type
Card Number
Expiration Date
CVV Security Code