BMC Dinner RSVP Form

Hallandale Bat Mitzvah Club Gala Dinner Reservation Form
Sunday, May 12th 2023 - Iyar 4, 5784

Chabad South Broward 1295 E Hallandale Beach Blvd
Early Bird Pricing (before April 7th):

$100 a person

Pricing after April 7:

$120 a person

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

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

*Bat Mitzvah Girls must be paid for

* You can purchase the high-res photos of the event (including the pre-event photoshoot) for $100
Child's Name*
First Name Last Name
Parent's Name*
First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
How many attendees?*
Purchase photos?*

YesNo
Total

$0.00

Payment*

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Hallandale Bat Mitzvah Club Gala Dinner Reservation Form