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THE NORTH SHORE SYNAGOGUE

15 Treatts Road, Lindfield NSW 2070
p: (02) 9416 3710

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Given name*

Surname*

Email*

Phone*

Husband's name*

Wife's name*

Acceptance*

We will be unable to accept the honour

We accept the honour

Name of person to be called for the honour

We would appreciate a donation even if you are unable to attend:

Donation*

A$180

A$270

A$540

A$720

A$900

Please tick any of the options below and we will be in touch to arrange:

Requests

Sponsor a Kiddush

Install a plaque in honour of your anniversary

Other

CONTACT US:

Email: info@nss.asn.au
Phone: (02) 9416 3710

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