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Leviot Membership

Membership sign up form for 5784 - 2023/24
Membership Fee: $136

Leviot Membership entitles you to free entry with RSVP to all events & First Friday Challah Baking
Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Payment*

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Amount to charge

$
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