PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

Women's Connection Rosh Chodesh

Through August 15, 2015
6:00 pm - Jacobs Family Community Hall
Free Admission. Light Dairy Potluck Dinner.

* Dates in 2014 through 2015 (select any or all)

* No of attendees

Enter as a numeral--no text, please

* Name(s) of Attendee(s) - separated by comma

Potluck item you are bringing

Must be dairy/vegetarian/pareve, such as veggies, fish or egg salad, pita, dips, etc.

*E-mail

*First Name

*Last Name

Account

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Would you like to increase your donation to cover credit card fees. No fee for electronic checking

Total: