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