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JWC Event RSVP

Please register below for our Jewish Women's Circle making
DUBAI CHOCOLATE

Thursday, January 16th at 7 PM

You may register multiple people for this event!
Full Name*
First Name Last Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area Code Phone Number
Number of People*
Please list additional participants
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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