Call Dr. Duck Now! You can reach Dr. Duck about Bar /Bat Mitzvah's using this online form. You can also reach Dr. Duck by telephone. Call: Jim Duckworth 407-568-4911

Dr. Duck's BAR/BAT MITZVAH FORM
Company Name		Contact's Name
Street Address		City / Town
State		Zip
E-Mail Address		Phone
Fax:
Son's Name:		Daughter's Name:
Introduce Family?	Yes No	Date of Function:
MOTZEE:	Yes No	By whom?
Formal Toast?	Yes No	By whom?
Candle Lighting Ceremony: List Names Below
Name:		Name:
Name:		Name:
Name:		Name:
Name:		Name:
Name:		Name:
Name:		Name:
Name:		Name:
Hora-Lifting of Chair Ceremony?	Yes No	Games for Children?	Yes No
Other Requests/Questions/Comments:

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