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      <p style="text-align: center;"> <strong style="font-size: 10pt;"><span style="font-size: 22px; font-family: Georgia; color: rgb(255, 0, 0);">Event Registration Form!</span></strong></p>
<p style="text-align: center;"><span style="font-family: 'comic sans ms'; color: rgb(128, 0, 128); font-size: 16px;"><img src="https://w2.chabad.org/media/images/798/ITHp7989276.jpg" alt="lchaim_challah A4.pdf-page-001.jpg" real_width="663" real_height="938" border="0" width="350" height="495"></span></p>
<p style="text-align: center;"><span style="font-family: 'comic sans ms'; color: rgb(128, 0, 128); font-size: 16px;">Are you a member?
<br></span> <span style="color: rgb(128, 0, 128); font-family: 'Comic Sans MS';"><a href="/Article.asp?AID=2311207"><span style="color: rgb(128, 0, 128); font-size: 16px;">Click here</span></a></span><span style="font-family: 'Comic Sans MS'; color: rgb(128, 0, 128); font-size: 16px;"><span style="color: rgb(128, 0, 128); font-family: 'comic sans ms';"> </span><span style="font-family: 'comic sans ms'; color: rgb(128, 0, 128);">for 20% Discount!</span></span></p>
<p class="title" style="color: rgb(53, 47, 147); font-family: Georgia; font-size: 22px; line-height: 1.2; margin-top: 10px; border-bottom-color: rgb(53, 47, 147); border-bottom-width: 1px; border-bottom-style: dotted; font-weight: bold;"><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255); font-size: 16px;"> Girl's Info</span><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255);">  
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<p class="subtitle">  Girl 1: </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  First Name:   <input type="text" name="First Name" size="20" tabindex="1" required="true"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  Last Name:   <input type="text" name="Last Name" tabindex="1" required="true"> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  DOB:            <input type="text" name="DOB" size="20" tabindex="1" required="true"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="background-color: rgb(255, 255, 255);">  School:         </span><input type="text" name="School" size="20" tabindex="1" required="true"> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="color: rgb(160, 36, 120); font-family: Georgia; font-size: 17px; font-weight: bold; line-height: 20.399999618530273px; background-color: rgb(255, 255, 255);">  Girl 2:</span> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  First Name:   <input type="text" name="First Name" size="20" tabindex="1" required="false"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  DOB:            <input type="text" name="DOB" size="20" tabindex="1" required="false"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="background-color: rgb(255, 255, 255);">  School:         </span><input type="text" name="School" size="20" tabindex="1" required="false"> </p>
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<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="color: rgb(160, 36, 120); font-family: Georgia; font-size: 17px; font-weight: bold; line-height: 20.399999618530273px; background-color: rgb(255, 255, 255);">  Girl 3:</span> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  First Name:   <input type="text" name="First Name" size="20" tabindex="1" required="false"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  DOB:            <input type="text" name="DOB" size="20" tabindex="1" required="false"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="background-color: rgb(255, 255, 255);">  School:         </span><input type="text" name="School" size="20" tabindex="1" required="false"> </p>
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<p class="title" style="color: rgb(53, 47, 147); font-family: Georgia; font-size: 22px; line-height: 1.2; margin-top: 10px; border-bottom-color: rgb(53, 47, 147); border-bottom-width: 1px; border-bottom-style: dotted; font-weight: bold;"><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255); font-size: 16px;"> People attending</span><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255);">   
<br type="_moz"></span></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"> <input type="radio" name="People attending" value="Mother and Daughter" tabindex="1"> Mother and Daughter</p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 15.600000381469727px; background-color: rgb(255, 255, 255);"> </span><input type="radio" name="People attending" value="Daughter only" tabindex="1" style="font-size: 13px;"> Daughter only</p>
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<p class="title" style="color: rgb(53, 47, 147); font-family: Georgia; font-size: 22px; line-height: 1.2; margin-top: 10px; border-bottom-color: rgb(53, 47, 147); border-bottom-width: 1px; border-bottom-style: dotted; font-weight: bold;"><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255); font-size: 16px;"> Contact Info</span></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13.333333969116211px; line-height: 1.2;">  Contact Name:   <input type="text" name="Contact Name" size="20" tabindex="1" required="true"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13.333333969116211px; line-height: 1.2;">  Relationship:      <input type="text" name="Relationship" size="20" tabindex="1" required="true"> </p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13.333333969116211px; line-height: 1.2;"><span style="line-height: 17.765625px;">  Home Phone:     </span><input type="text" name="Home" size="20" tabindex="1" required="true" style="line-height: 1.2; font-size: 10pt;"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  Mobile:              <input type="text" name="Mobile" size="20" tabindex="1" required="true"></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;">  Email:               <input type="text" name="x_email" size="20" tabindex="1" required="true"></p>
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<p class="title" style="color: rgb(53, 47, 147); font-family: Georgia; font-size: 22px; line-height: 1.2; margin-top: 10px; border-bottom-color: rgb(53, 47, 147); border-bottom-width: 1px; border-bottom-style: dotted; font-weight: bold;"><span style="color: rgb(51, 51, 153); font-family: Georgia, 'Times new roman'; font-style: italic; background-color: rgb(255, 255, 255); font-size: 16px;"> Event Updates</span></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"> <input type="radio" name="Trip Updates" value="Mobile" tabindex="1" style="font-size: 10pt;"><span style="font-size: 10pt;">Above</span><span style="font-size: 10pt; line-height: 1.2;"> Mobile Number</span></p>
<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"><span style="background-color: rgb(255, 255, 255);"> </span><input type="radio" name="Trip Updates" value="Email" tabindex="1" style="font-size: 10pt;"><span style="font-size: 10pt; background-color: rgb(255, 255, 255);">Above</span><span style="font-size: 10pt; line-height: 1.2; background-color: rgb(255, 255, 255);"> Email Address</span> </p>
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<p style="font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.2;"> <select name="x_amount" tabindex="1"><option value="3">1 Daughter: £3</option>
          <option value="6" selected>2 Daughters: £6</option>
          <option value="9">3 Daughters: £9</option>
          <option value="6" selected>Mother &amp; 1 Daughter: £6</option>
          <option value="9">Mother &amp; 2 Daughters: £9</option>
          <option value="12">Mother &amp; 3 Daughters: £12</option></select></p>
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