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Chanukah Night Out Form

Chanukah Night Out Form

Chanukah 2015 - Adults Night Out with Mark Halawa

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Name:

Address:

City: Prov. PC:

Phone: Email:

How many Adults ($25 each):

I would like to be a sponsor for the event in the amount of $180 (includes 4 tickets to the event).

Please charge my credit card in the amount of $

VISA Master Card

Card number: exp.(mm/yyyy) /

My cheque payable to OTC is in the mail.

Please maill all cheques to Ottawa Torah Centre 111 Lamplighters Drive Ottawa, ON K2J 0C2

Looking forward to seeing you there.

Please contact us at info@theotc.org should you have any questions
or need more information

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