A Hockey Purim  Reservation Form

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City: Prov. PC:

Phone: Email:

How many Adults ($30 each): How many Children ($15 each):

I would like to be a sponsor for the event in the amount of $180 (includes 2 adult and 3 children tickets).

Please charge my credit card in the amount of $

VISA Master Card

Card number: exp.(mm/yyyy) /

Credit Card CVV Number:   

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 purim@ottawatorahcentre.com should you have any questions
or need more information