Online Reservations: Last Name How Many Reservations? (Not including volunteers) 1 Reservation 2 Reservations 3 Reservations 4 Reservations 5 Reservations 6 Reservations First Name How Many Volunteers? 1 Volunteer 2 Volunteers 3 Volunteers Address Charge Amount for Reservations City/State/Zip CC Type Visa Mastercard American Express Phone Card Number E-mail Exp. Date Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select 2014 2015 2016 2017 2018 2019 2020 Please Make Reservations For: (please check box after name(s) of attendees requiring a children's menu) Name of Attendee: Kid's Menu: Name of Attendee: Kid's Menu: Name of Attendee: Kid's Menu: Name of Attendee: Kid's Menu: Name of Attendee: Kid's Menu: Name of Attendee: Kid's Menu: Support the Program (optional): Yes! I/We would like to show my/our support in the Mitzvah Corps Tribute Book: $180 - Full Page Ad $100 - Half Page Ad $50 - Quarter Page Ad $25 - Greeting: (please type greeting above- 15 words or less) Please create my ad for me using the following text: I will e-mail you a ready made ad to use by May 3rd. (Please send ads to [email protected]in .doc, .psd, .jpeg files only) Please confirm the total to be charged to your credit card for your contribution: If this donation is in honor/memory of someone, please fill in the name and address to which you would like a notification card mailed along with a message to the recipient: Optional Problems with this form? Please call (414) 228-8000 or e-mail us here. We look forward to seeing you there! This page uses 128 bit SSL encryption to keep your data secure.