RSVP Name* Address E-mail* CHOOSE EVENT: Rosh Chodesh Women's Glow of Peace (no cost) Total amount of people attending Adults Children I would like to be a sponsor ($36, $50, $180, other) PAYMENT OPTIONS: (where cost is applicable) I will pay by check I am paying by credit card: Charge my card for the amount of: card number expiration date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 3 digit code on back of card Name & address on credit card only if different than above. Comments: Thank you, we look forward to seeing you! This page uses 128 bit SSL encryption to keep your data secure.