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Chanukah Kids

Full Name

First Name Last Name
Number Of Adults
Number of Children
Chai Tots Family or Chai Hebrew Family

Chai Tots Chai Hebrew
When I will meet my Child
Optional Donation To Cover Costs

$18 $36 $72 $180
Total

$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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