Jewish Women's Circle of Thornhill Woods 
REGISTRATION

First Name*
Last Name *
Address *
City *
Postal Code *
Phone *
E-mail *

Additional names not written above:

Comments:
I can volunteer my time with this or others women's programs:

Payment:

I will make a payment/donation by credit card in this form

Cost $30 /per seder plate


(your ceramics will be ready for pickup before Passover. Your choice to decide on Sunday to pickup from the Art Time Cafe or have it brought to the Shul and picked up from there.)

Payment Information:
Security: Chabad RC of Thornhill Woods uses technology that encrypts all information from the end-user to the web server.
Payment Amount: $


Card Type:
Card Number :
Expiration Date:
SCV: