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Please list names of all attending

Shabbat Dinner - Number of Adult Temple Members ($35 per adult)

Shabbat Dinner - Number of Children ($10 per child)

Shabbat Dinner - Number of Guest Adults ($45 per adult)

Total Amount

If not a member of Temple Am Echad, please provide your address and phone number here

Wed, June 25 2025 29 Sivan 5785

Temple Am Echad
1 Saperstein Plaza, Lynbrook, NY 11563
(516) 593-4004 • office@am-echad.org

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