Jerusalem Shabbat Dinner

When

Friday, May 15, 2026

6:30 pm

Where

Israel Center of Conservative Judaism
167-11 73rd Ave, Flushing, NY, 11366

Event Type

Registration Form Below Flyer

Register:

Date of dinner(Required)

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Date of dinner

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Name for reservation(Required)

First Last

Email(Required)

Cellular Phone(Required)

Home Phone

Names of additional people in your group

First

Last

Age if < 18

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List Counter

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Total people

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Full address including State and ZIP Code please

Are you, or is someone in your party celebrating a birthday or anniversary this month?

Birthday

Anniversary

Details: Who is celebrating what, and when?

Membership Status

Are you a current member of ICCJ or Yedidya?(Required)

Yes

Not yet

Photo ID(Required)

Please upload clearly visible photo ID(s) of all adults in your party, for our security team.

Drop files here or

Accepted file types: jpg, png, pdf, tiff, gif, Max. file size: 300 MB.

☞ Please indicate your membership status before proceeding with your meals selection

Meal choices

👪 Please note: Cost should not deter you from joining us. If you find it onerous, kindly confidentially contact the rabbi.

Adult Chicken

Price: $30.00

Adult Fish

Price: $30.00

Adult Vegetarian

Price: $30.00

Adult Chicken

Price: $35.00

Adult Fish

Price: $35.00

Adult Vegetarian

Price: $35.00

Youth 13-18 years old Chicken

Price: $13.00

Youth 13-18 years old Fish

Price: $13.00

Youth 13-18 years old Vegetarian

Price: $13.00

Child 5-12 years old Chicken

Price: $9.50

Child 5-12 years old Fish

Price: $9.50

Child 5-12 years old Vegetarian

Price: $9.50

Child 0-4 years old

Price: $0.00

Discount

Price: $0.00

Complimentary

Price: $0.00

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Adult Chicken Meals

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Adult Fish Meals

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Adult Vegetarian Meals

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BAdult Chicken Meals

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BAdult Fish Meals

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BAdult Vegetarian Meals

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Youth Chicken Meals

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Youth Fish Meals

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Youth Vegetarian Meals

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BYouth Chicken Meals

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BYouth Fish Meals

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BYouth Vegetarian Meals

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Child Chicken Meals

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Child Fish Meals

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Child Vegetarian Meals

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Children < 5 y.o.

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BChild Chicken Meals

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BChild Fish Meals

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BChild Vegetarian Meals

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BChildren < 5 y.o.

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Total adults:

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Total youth:

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Total children ≥ 5:

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Total children < 5:

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Total people:

Allergies or restrictions we should be aware of?

Reference CODE

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Additional Notes

Subtotal

Optional add 3%

Deselect to opt out

Optional: Add 3% to cover our credit card processing fees

Optional 3%

Price: $0.00

Total

OFFICE: type OVERRIDE to submit without payment

Payment

Credit Card(Required)

American Express

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MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

🛑 Important: Please double-check your billing address. Many transactions are declined due to a mismatch between the address or ZIP code entered and what your credit card company has on file.

Billing Address(Required)

Same as above

Street Address City State / Province / Region ZIP / Postal Code Country

Email associated with Card(Required)

Phone Number Associated With Card(Required)

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