Chanukah Spectacular Reservation Form

Chanukah

Entire Program is Free!

Yes, this is an entirely free program.

Please note, your credit card will not be charged if you attend the program. Due to many "no shows" in the past, a credit card is required for reservations, but will only be charged if you do not attend, or do not cancel within two days before. We hope you understand, and enjoy the festivities!

For reservations that do not show, or do not give a two day notice of cancellation, a nominal donation of $10.00 per Person will be charged. Thank you for your understanding. The charge will be made after the program.

Reservations will be closed at maximum capacity.

* Required field

First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
How did you hear about this event?*	Postcard Email ExploreLI.com Patch Newspaper Poster Friend Internet Search Other (Please explain in the comments box below)


Time Slot*
Card Type*
Security Code*
Card Number*
Expiration Date*

I would like to be a sponsor for the amount of

I would like to reserve for a total of * (Parents and Children)

*First Name	*Last Name

Comments:

Looking forward to seeing you!