Reservation Form -- Havdalah, Hot Chocolate and Heroines
* = required information

*First Name:    *Last Name:

*Address:

* Email (required for confirmation):

*Phone:  

Advance Tickets:
No of Attendees:      x $5/person = $

Payment method for advance payments:
   Please add to my CBE account
   I will bring or send a check

RSVP only; will pay $6/person at the door. No. of Attendees so we can plan: 

Comments or Special Needs (max 180 characters)