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ב"ה

Hike with Keith

RANCH FAMILY DAY!

Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Affiliation*
Are you interested in Gan Izzy Ranch Camp?
Number of adults*
Number of children*
Ages of children
Prices:
$25.00 per family - cover charge

DO YOU WANT TO DO A MITZVAH?
Can you contribute toward the Gan Izzy Scholarship Fund and help children experience the magic of Gan Izzy Ranch Camp?

$70 ~ Sponsor a camper for a day

$140 ~ Sponsor 2 campers for a day

$210 ~ Sponsor 3 campers for a day

$350 ~ Sponsor a camper for one week
Total amount*

$

Payment*

Credit Card check or cash @ event

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