February 20 • March 20 • April 17 • May 22

Time: 5:45 pm
Members: $25 per Adult / $ 7 per Child (5 - 12)
Non-Members: $36 per Adult / $12 per Child (5 - 12)
Call office to reserve your spot with a credit card
no later than 10 days before the dinner date.
Please check off dates of Shabbat Dinners you wish to attend.

TShabbat Dinner: February 20 TShabbat Dinner: March 20

Number of Dinners: Total Number of Dinners: Total
Member: Adult Meals ______ x $25 = _________ Member: Adult Meals ______ x $25 = _________
Non-Member: Adult Meals ______ x $36 = _________ Non-Member: Adult Meals ______ x $36 = _________
Member: Child Meals ______ x $ 7 = _________ Member: Child Meals ______ x $ 7 = _________
Non-Member: Child Meals ______ x $ 12 = _________ Non-Member: Child Meals ______ x $ 12 = _________
All Children 4 & Under Free______ Total Enclosed: $ ______ All Children 4 & Under Free______ Total Enclosed: $ ______

TShabbat Dinner: April 17 TShabbat Dinner: May 22

Number of Dinners: Total Number of Dinners: Total
Member: Adult Meals ______ x $25 = _________ Member: Adult Meals ______ x $25 = _________
Non-Member: Adult Meals ______ x $36 = _________ Non-Member: Adult Meals ______ x $36 = _________
Member: Child Meals ______ x $ 7 = _________ Member: Child Meals ______ x $ 7 = _________
Non-Member: Child Meals ______ x $ 12 = _________ Non-Member: Child Meals ______ x $ 12 = _________
All Children 4 & Under Free______ Total Enclosed: $ ______ All Children 4 & Under Free______ Total Enclosed: $ ______

Please charge my Credit Card:

Account Number: __________________________________________ Make checks payable to:
Expiration Date: _______________ Security Code: _______________ Temple Beth Sholom
Signature: _______________________________________________ 10700 Havenwood Lane
Las Vegas, NV 89135
Print Name: ______________________________________________
(702) 804-1333
Address: __________________________ City: __________________
State: _______ Zip: ___________ Phone: _____________________