Lag BaomerFull Name*First NameLast NamePhone Number E-mail*How many adults will join*1 adult1 couple3 adults4 adultsHow many children will join*No children1 child2 children3 children4 children5 childrenI would also like to make a donation1803605409001800My donation is in honour of/ in memory of:PaymentJEWISH LIFE CENTRE TRUST FNB 62747803585 Branch code: 250 655 Please use your surname+lag as the reference.You can pay by credit card at www.walletdoc.com/pay/JLife.TotalR0.00SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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