Name *

First Name

Last Name

Phone *

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I Plan to Attend First Night Brisket Dinner Wednesday Oct. 2 7:30pm in the Birenbaum (under the Hotel at Oberlin

Yes

No

I Plan to Attend First day services & lunch Thursday,Oct. 3 10:30am in the Birenbaum (under the Hotel at Oberlin

First day services & lunch Thursday,Oct. 3 10:30am in the Birenbaum (under the Hotel at Oberlin

Yes

No

I Plan to Attend Second night dinner, Thursday Oct. 3 8pm in the Birenbaum (under the Hotel at Oberlin

Second night dinner, Thursday Oct. 3 8pm in the Birenbaum (under the Hotel at Oberlin

Yes

No

I Plan to Attend Second day services & lunch Friday Oct. 4 10:30am in the Birenbaum (under the Hotel at Oberlin

Second day services & lunch Friday Oct. 4 10:30am in the Birenbaum (under the Hotel at Oberlin

Yes

No

Home Address Non-Oberlin

Address 1

Address 2

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