Tashlich Sunset Cruise Registration

Number of Attendees Registering*

Name*

First Name Last Name

E-mail*

Guest's full name

First Name Last Name

Second guest's full name

First Name Last Name

Third guest's full name

First Name Last Name

Fourth guest's full name

First Name Last Name

Fifth guest's full name

First Name Last Name

Sixth guest's full name

First Name Last Name

Seventh guest's full name

First Name Last Name

Cost:

$50/attendee

$180/attendee sponsorship

Payment*

Credit Card

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

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Amount for 1 guest ($50/attendee, $180/attendee sponsorship)

$50$180

Amount for 2 guests ($50/attendee, $180/attendee sponsorship)

$100$180

Amount for 3 guests ($50/attendee, $180/attendee sponsorship)

$150$180

Amount for 4 guests ($50/attendee, $180/attendee sponsorship)

$200$180

Amount for 5 guests ($50/attendee, $180/attendee sponsorship)

$250$180

Amount for 6 guests ($50/attendee, $180/attendee sponsorship)

$300$180

Amount for 7 guests ($50/attendee, $180/attendee sponsorship)

$350$180

Amount for 8 guests ($50/attendee, $180/attendee sponsorship)

$400$180

Attendee Information

Guests' Information

Payment Information