Community Shabbat Dinner

When

August 2, 2024

6:15 pm - 7:45 pm

Where

Athenaeum Hotel Parlor Room
3 South Lake Drive, Chautauqua, NY, 14722

Immediately following services. Reservations are required. Questions: Contact Steve Peters at .

Payment by Check

Please download and print this registration form and send it in with your check.

Online Registration Form (Payment by Credit Card)

"*" indicates required fields

Community Shabbat Dinner

Friday, August 2 (Deadline is July 23rd)

Menu Choices
S - Grilled Salmon w/ Cous Cous
V - Grilled Summer Vegetables
E - Eggplant Parmesan over Linguini
K - Kids Mac n’ Cheese (charge of $28)
C - Chicken Piccata w/asparagus

August 2 Dinner - Number of Attendees

Price: $55.00

August 2 Dinner - Number of Child Under 12 Attendees

Price: $28.00

August 2 Dinner - Attendee Information & Meal Choices

For each attendee, we must know the following information.

Attendee Name

Entree Choice (see list above)

Email Address

Cell Phone Number

Food Allergy?

August 2 Dinner - Seating Request(s)

If possible, I would like to sit with:

Payment Information

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 3% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Information

Billing Name*

First Last

Billing Address*

Street Address City State ZIP Code

Billing Phone*

Billing Email*

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