Bat Mitzvah Club

Dinner Reservation Form 5779-2019

Sunday May 12th, 7 Iyar
Lubavitch Aventura South 18449 NE 28th Ct, Aventura, FL 33160

Child's Last Name: First Name:
Home Address: Zip:
Mother's First Name:  
Cell: Email:
Father's First Name:  
Cell: Email:
Total Amount of Adults: 


Total Amount of Children:

Total Amount of Invitations ($2.75 each invitation, only if you haven't paid yet) :


Adult: $62 before April 7th. $72 from April 7th- May 7th

Child: $52 before April 7th, $62 April 7th- May 7th

* Reservations and Payment must be done prior to Tuesday, May 1st , 2019

* Children of any age that require a seat must be paid for!

* All Bat Mitzvah Girls are Adults!
Billing Information:  
Cash Cheque  
Name on Card:
Card Number: Expiry:

Total Amount to be charged ( including invitations) $

Please break up the payments: #1 Dinner Guest Amount #2 Invitations #3 Dvd of Pics from Gala Dinner ( $45 for the dvd)