HEA: Register for Event

Register for the Second Seder

HEA Second Seder
Tuesday, March 30, 6 pm
Reservations are required; limited numbers of walkins will be accomodated at an additional $25 per person.

>> Fill in the information below completely to make a reservation for this event:
Your Name:
Your E-mail:
Full Mailing Address:
Your Phone Number:
Number of HEA Member Adults/Teens ($65):
Number of HEA NON-Member Adults/Teens ($75):
Number of HEA Member Children (Age 3-13) ($40):
Number of HEA NON-Member Children (Age 3-13) ($45):
Names of All Those Included on this Reservation:
Names of Any Children Under Age 2 (No Charge):
Please Seat Us With: Note: Each family requires a separate reservation
Select Payment Method:	Checks need to be brought/mailed to the HEA
Name on Credit Card:
Credit Card Number:
Expiration Date:
Security Code / CVV: The security code is the last 3 numbers on the back of your card in the signature panel.