Rosh Hashanah Original Form - Montefiore

1800 978 711

Rosh Hashanah Original Form

Step 1 of 2 - Personal Information

50%

Your first name*
Your last name*
Contact number*
Email*
Address
Street Address Suburb State Postal Code Country
Area
- Hunters Hill Hostel
- Hunters Hill Ariel Nursing Home
- Hunters Hill Shirah Nursing Home
- Hunters Hill Special Care Unit
- Hunters Hill Monte Gardens
- Randwick Hostel
- Randwick Nursing Home
- Randwick Special Care Unit
- Randwick Monte Terrace
- Woollahra

Resident First name*
Resident Last name*
Resident: (1st Night) - Sunday 29th September
I will be attending*
- Yes
- No
I will be going out*
- Yes
- No
No. Guests (excluding resident)

There is NO charge for residents
For bookings of more than 8, Please contact Tammy Kleviansky on (02) 8345 9243 or tkleviansky@montefiore.org.au
Adults at $55 per person*
Children at $25 per child (4 - 12yrs)*
Children under the age of 4 years (no charge)
Please note that we have a limited number of high chairs available. Please indicate in the Special Instructions section if you require a high chair
Number of guests requiring (Vegetarian meal/s)*
Number of guests requiring (Fish meal/s)*
Special Instructions
Please provide any additional information
Resident: (2nd Night) - Monday 30th September
I will be attending*
- Yes
- No
I will be going out*
- Yes
- No
Adults at $55 per person*
Children at $25 per child (4 - 12yrs)*
Children under the age of 4 years (no charge)
Please note we have a limited number of high chairs available. Please add in the Special Instructions section if you require a high chair.
Number of guests requiring (Vegetarian meal/s)*
Number of guests requiring (Fish meal/s)*
Special Instructions
Please provide any additional information
Payment Information. Please note that refunds will not be given after the RSVP date
Total Value
Price: $ 0.00
Payment Method
- Credit Card
- Cash
If you do not have a PayPal account, Please select "Pay with a Card" on the next screen.

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Head Office

36 DANGAR STREET
RANDWICK NSW 2031

1800 978 711

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