Home > Enrollment form for Tania Grossinger

Enrollment form for Tania Grossinger

 

Enrollment Form for Book and Author Luncheon with Tania Grossinger

10:30 am, Nov. 7, 2013

Central Synagogue

 

RSVP by October 29, 2013 Your check, payable to Hadassah, is your reservation

Mail to: Nassau Region of Hadassah, 430 DeMott Ave., Rockville Centre, NY 11570

Name____________________Chapter/Group__________

Address________________________________________

Phone_____________email________________________

___Member $28 ___Non-Member $28 + $36 or $212 ___Catskill Fan ___ Nostalgia Buff Total Enclosed: $_____

I cannot attend but would like to make a contribution to the Extraordinary Work of Hadassah $_____

 

 



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