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Ladies Night Out

Full Name*

First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Phone Number*

Area Code Phone Number
Pay for all 6 events and save money
Payment for all 6 events

$180
Pay for individual events
Glass Fussion

$36
Please choose Glass Fussion Option

Glass MenorahGlass Shabbat Candle Holder
Talcuterieboards

$36
Israeli Drum Circle

$36
Spa day

$36
Paint Night

$36
Sauerkraut making

$36
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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