An Evening with David Sussman Form

Secure This page uses 128 bit SSL encryption to keep your data secure.



City:  Prov.  PC: 

Phone:  Email:


How many Participants ($10 each): 

I would like to be a sponsor for the event in the amount of $180 (includes 8 tickets to the event).

Please charge my credit card in the amount of $

VISA Master Card

Card number:  exp.(mm/yyyy/

My cheque payable to OTC is in the mail.

Please maill all cheques to Ottawa Torah Centre 111 Lamplighters Drive Ottawa, ON K2J 0C2

Looking forward to seeing you there.

Please contact us at [email protected] should you have any questions 
or need more information