Chanukah Form

Come celebrate Chanukah and show your appreciation to our heroic firefighters!

We will light the Menorah with the men of the FDNY, check out their cool equipment, learn about fire safety, order them dinner, show our appreciation and sing the national anthem.

Tuesday, December 16th, 5:30pm @ 42 South St, New York, NY 10005.
Full Name*
First Name Last Name
E-mail*
How Many Children?*
Name of Child #1*
First Name Last Name
Age*
Name of Child #2*
First Name Last Name
Age*
Name of Child #3*
First Name Last Name
Age*
Does your child have any allergies we should be aware of?*

Address*

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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