Dueling Pianos - Form - Temple Beth David

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Dueling Pianos

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* First Name

* Last Name

* Email

Phone Number

Address

City,

Zip Code

* How many people are attending?

Cost is $40 per person.

50/50 Raffle

50/50 Raffle $10 each

(Optional): Increase my donation by 3% to help partially defray processing costs

(Optional): Increase my donation by 3% to help partially defray processing costs

Your total cost is____

Thank you for your generous support.

Thu, April 18 2024 10 Nisan 5784

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