JDCC's 8th Annual Community Seder
RESERVATION FORM

Number
of Tickets
  Price
Adult  $40.00
Child (ages 6-12) $15.00
Child under 6 FREE

Sorry, I  am not able to attend, but I'd like to donate $ to the Passover Fund to make it possible for other people to attend

Total cost: $

Name:
Mailing Address:
City/State/Zip code:
Phone Number:
Fax Number:
Email Address:

Method of Payment: Check/Money Order    Credit Card

If you select to charge the total amount to your credit card account, please provide your credit information.

VISA /MC Number:
Expiration Date:
Name appearing on card:
Signature: _______________________________

ALL RESERVATIONS are not refundable.

and mail the printed form to the address:

JDCC
507 Bethany Road
Burbank, CA 91504

or fax the form to the number: 818/845-9936

If you mail a check, please make it payable to JDCC.

All services are held at: 507 Bethany Road Burbank, CA (FWY 5 at Burbank Blvd.)