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Challah Bake Registration
Please note: Your registration will not be confirmed until we have received payment
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
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Address
*
Line 1
Line 2
City
State
Zip Code
Country
Which Congregation are you attending from?
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Congregation Beth Israel- Gulfport
Congregation Beth Israel- Jackson
Congregation B'nei Israel- Hattiesburg
Other
If you selected "Other" please write how you heard about the Challah Bake here!
*
If you would like to sit with a specific table, please specify here:
*
Once you've submitted this form, please scroll down to pay to confirm your reservation.
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