Hanukkah Helpers Hunger Project Event

Please complete the form to RSVP for the WHC Hunger Project Packing scheduled for
Sunday, December 15 from 12:00 pm - 2:30 pm at the Julia Bindeman Suburban Center.

Please contact Leila Gordon with any questions or concerns.

PARENT INFO

First Name

Last Name

Email Address

STUDENT INFO

First Name

Last Name

Grade in School

Attends Religious School at:

TempleJBSC

If your child has any dietary restrictions or allergies, please let us know here.

Would you like to make a donation to help cover the cost of this program?

yesno

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Total Amount (TotalAmount)

Refund policy

PAYMENT METHOD

How would you like to pay your bill?

Credit Card (includes 3% fee)ACH (Direct Bank Debit - No fee)

CREDIT CARD INFORMATION

To help defray some of WHC's credit card processing costs, a 3% fee has been added to your credit card payment. Please note that ACH payments do not include this fee.

Fee Amount

Grand Total

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Last Name on Card

Credit Card Number

Expiration Month

Expiration Year

CVV

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Billing Street

Billing City

Billing State

Billing Zip Code

ACH INFORMATION

Personal check with labels for routing and account numbers

Bank Routing Number

Bank Account Number

Bank Account Type

CheckingSavings

Bank Name

Account Holder's Name (NOTE: If this is a joint account, use one name only. If it's a trust/foundation use one first/last name only)

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Billing Street

Billing City

Billing State

Billing Zip Code

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