Installation Dinner Reservation Form

Submit this form no later than Friday, May 19!

Cost:
$36.00 per Adult
$18.00 per Child (4 to 18 years old)
no charge for children 3 and under
$100 max per family

Please enter your first and last name.

If other is selected, please enter congregation.

Enter phone with no dash (-)Example: 3014445555

Attendees
number of Adults?

This price is $36 per adult

number of Children?

This price is $18 per Child (4 to 18 years old).

Please enter the total amount of your order or $100 for the maximum per family. Family Max price includes up to 2 adults

If other is selected, please enter type of payment.

Ohr Kodesh Congregation

8300 Meadowbrook Lane
Chevy Chase, MD 20815
Phone: (301) 589-3880
Fax:  (301) 495-4801

Email: executivedirector@
ohrkodesh.org

Map & Directions

Map and Directions to Ohr Kodesh