P'nai Or Passover Reservations Form
MARCH 30, 2010 at 7:00pm
Please PRINT OUT the following form and mail: P.O.Box 8114, Long Beach, CA 90808
Adult Name(s): ______________________________________________________________
Child Name/age (under 18 ): _______________________________________________
Stree Address: ______________________________________________________________
City ______________________________ State: _______ Zip: ___________
Phone Number: (Day) ________________________ (Eve) ___________________________
E-Mail Address: ____________________________________________________________
How did you hear about this event? _____________________________________________
Please mark the appropriate selection
PASSOVER (reservations must be made at least one week in advance)
___ Number of Adults, Non-Member $22 per person
___ Number of Adults, Member $22 per person
___ Children under 13 or Student $12 per person
___ Number of Adults with Generosity Donation, $36 per person
(Generosity requested from those who can)
PAYMENTS:
$_______ Total Amount Due
( ) I am paying by check. Please make payable to P'nai Or, Long Beach)
( ) I am paying by credit card or e-Check using Paypal.
(If you have a paypal account you can send a payment directly to info@pnaior.org or visit our website and use the Paypal button (below).
For additional information, please call our office at (562) 364-5154 or e-mail info@pnaior.org
All credit card payments are processed via Paypal, however you do not need to have a paypal account. Please make the appropriate selection from the drop down menu and then click the Payments Button.
Don't forget, even if you are paying by credit card you must still mail in your reservation form. Thank You.