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Super Bowl 2024
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First Name
*
Last Name
First Name #2
Last Name #2
Home Phone
Mobile Phone
*
Email
Please indicate how many people will be in attendance.
0
1
2
3
4
5
6
7
8
9
10
Number of participants
Cost $18/person
Would you like to make a donation to help underwrite the costs of this program?
I prefer not to contribute at this time
18.00
36.00
54.00
100.00
250.00
500.00
Please contribute in whatever way you are comfortable.
Total:
Thu, 12 February 2026 25 Shevat 5786
