Israeli Falafel Night Sunday Evening November 3, 2019 at 5:00 PM at the Peltz center for Jewish Life Reservation Form: Special Members Price: $16 per adult, $12 per child Regular Price: $18 per adult, $14 per child # Adults 1 2 3 4 5 6 7 8 9 0 # Children 1 2 3 4 5 6 7 8 9 0 First & 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: PAYMENT DETAILS Please charge my Please Select Visa Mastercard Amex Discover Card Number CVV Code Exp Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2016 2017 2018 2012 2019 2020 2021 2022 2023 2024 2025 Total email address This page uses 128 bit SSL encryption to keep your data secure.