Name ___________________________________________________
Address__________________________________________________
Telephone number _________________________________________
Email address _____________________________________________
|
JCK Members |
Non-Members |
|
|
Adults |
$50 |
$80 |
|
Children (up to 12 yrs.) |
$25 |
$50 |
|
Seat with no meal |
FREE |
FREE |
|
# Lamb |
# Chicken |
# Fish |
# Veg |
Total |
|
|
Adults/full price child |
______ |
______ |
______ |
______ |
______ |
|
Children (up to 12 yrs.) |
____*** |
______ |
|||
|
Seat with no meal |
-0- |
-0- |
-0- |
-0- |
______ |
|
Total Meals |
______ |
______ |
______ |
______ |
______ |
|
Total $ |
$_____ |
$_____ |
$_____ |
$_____ |
$_____ |
***Children’s price for chicken thighs only.
Checks should be payable to Jewish Community of Kauai and sent with this form to:
JCK c/o Dale Rosenfeld, PO Box 269, Kapaa, HI 96746
No credit cards please.
Questions? Phone 808-639-0283 or e-mail: dale@kauaijewishcommunity.com
We invite you to join our congregation:
Family Membership $250; Individual Membership $150
Additional Donations Welcome