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Stephen Cotsen Celebration Lunch
Saturday, 26 April, 2025
•
28 Nisan 5785
12:30 PM - 2:00 PM
Register
*
First name
*
Second name
*
Address line 1
Address line 2
*
City
*
Postcode
*
Email address
*
Mobile number
NLS Members (select number)
Select number of NLS Member
1
2
Non NLS Member (select number)
Select number of guests
1
2
Child
Child
1
2
3
Student / Unwaged
Students/unwaged
1
2
*
Non NLS member adult 1: First & Last Name
*
Non NLS adult 2: First & Last Name
*
Student/Unwaged 1: First & Last Name
*
Student/Unwaged 2: First & Last Name
*
Child 1 name
*
Child 1 age
*
Child 2 name
*
Child 2 age
*
Child 3 name
*
Child 3 age
*
Do you/anyone in your group have any allergies?
If none, add NONE here
*
If you are joining us as a non NLS member, which Synagogue are you a member of?
If none, add NONE here
If you would like to subsidise a place for someone else or make a donation, please do so here
Total (Tickets + Donations)
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Mon, 28 April 2025 30 Nisan 5785
