CBZ PASSOVER RESERVATION FORM

Please complete the form below and return it with your check made out to Cong. B’nai Zion, 750 United St., Key West, FL 33040.

(Please write “SEDER” on the Memo line). Reservations are due by Tuesday, March 16, 2010.

Your enclosed check to CBZ will be your reservation.
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CBZ SEDER RESERVATIONS FORM (3/30/10)

Contact Person’s Name: _________________________________________________

Ph #:_________________________ Email____________________________________

# of Adults/Teens (CBZ-members) _________ @ $50 = ___________

# of Adults/Teens (non-members) ___________@ $60 = ___________

# of Children (5-12) ______________________@ $25 = ___________

Number of Children 4 and under_____________ TOTAL = $____________

Your reservation check #____________to Cong. B’nai Zion
Please PRINT names of all adults/teens and children attending in your party (for place cards).

NOTE: Tables seat 8 persons.

____________________NAMES________________________

1.____________________________________________________

2.____________________________________________________

3.____________________________________________________

4.____________________________________________________

5. ____________________________________________________

6.____________________________________________________

7.____________________________________________________

8._____________________________ List additional names on back