Maryland Hillel Shavuot Student Programming Student Name* First Last Email* Cell PhoneExpected year of graduation* 2018 2019 2020 2021 Which programs do you anticipate attending? (We are trying to gauge interest so we are set up correctly)* Friday night services Friday night dinner Shabbat AM services Shabbat kiddush/light lunch Shabbat Mincha/Maariv Saturday night Bagel dinner (reserve below) Saturday night Shavuot Learning Sunday morning Shacharit Sunday morning light kiddush Sunday Mincha/Maariv Monday Shacharit Monday kiddush Monday afternoon BBQ (reserve below) Monday Mincha/Maariv Check all that applyShavuot first night Dinner (Saturday night)* Yes, I will be attending Shavuot Dinner No, I will not be attending Shavuot Dinner Please join us a bagel dinner (including cream cheese, egg salad and tuna) followed by learning opportunities for Shavuot, $5 per person.BBQ (Monday afternoon 1:00)* Yes, I will be attending the BBQ No, I will not be attending the BBQ Please join for lunchtime BBQ at Maryland HillelI would like to voluntarily contribute 3% of my total to offset expenses Maryland Hillel incurs by the credit card company?* Yes No 3% Voluntary Contribution Price: $0.00 Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenData Source HiddenLGL ID Δ