Family Name:

Name:

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PLZ / City:

Tel:

Email:

Amount of Adults: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Amount of Children: 0 1 2 3 4 5 6 7 8 9 10

I would like to help with payment of the meal: yes no

Please choose your form of payment:

I will pay directly to Postkonto 87-703318-6

IBAN CH23 0900 0000 8770 33186

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Comments:

Comments

I am / We are visiting Switzerland:

For more information please contact Rabbi Sholom Rosenfeld @ [email protected]

for more information: [email protected] or 044 383 93 04