Please mail this form with your check by Friday, March 13, 2009.

Family Name: ___________________________________________________________

Address:  ______________________________________________________________

______________________________________________________________________

______________________________________________________________________

Phone: ________________  Number of Children: ________  Age(s): ________________
The cost is $22 per age 12 and older, $10 per child age 5 to 11, and children under age 5 are free.

Special Meal Requirements:* _______________________________________________

Make your check payable to "Congregation Betenu" and mail it with this form to:

*Betenu's food policy prohibits the serving of pork and shellfish products.  For this occasion we are serving a traditional Shabbat meal, but if you have any particular needs, such as Kosher, Vegetarian or other special diets, please let us know.
Unless specifically requested, food was probably not prepared in a kosher kitchen.