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	Chanukah Form - Chabad of Turks & Caicos Islands
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CHANUKAH

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At
Chabad of Turks and Caicos Islands

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<h5>Holiday Date</h5>    
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December 4 - 12, 2026</div></div>
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			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
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<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">Chanukah RSVP</h1>
		
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<form class="userform-form" action="" method="post" name="form_6705693" id="6705693" accept-charset="utf-8"><input type="hidden" name="formID" value="6705693" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_18"><div id="cid_18" class="form-input-wide"> <img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/990/GvTS9908389.jpg" height="245" width="765" /> </div></li><li id="cid_26" class="form-input-wide"> <div class="form-header-group"><h2 id="header_26" class="form-header">1. Information:</h2></div> </li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q9_fullName9[first]" id="first_9" autocomplete="given-name" />  <label class="form-sub-label" for="first_9" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q9_fullName9[last]" id="last_9" autocomplete="family-name" />  <label class="form-sub-label" for="last_9" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q12_phoneNumber12[area]" id="input_12_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_12_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q12_phoneNumber12[phone]" id="input_12_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_12_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_10" name="q10_email10" size="30" value="" autocomplete="email" /> </div></li><li id="cid_27" class="form-input-wide"> <div class="form-header-group"><h2 id="header_27" class="form-header">2. Reservation:</h2></div> </li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> How many Adults attending?<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_14" name="q14_adults" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> How many Children attending? </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <input type="number" class="form-number-input  form-textbox" id="input_15" name="q15_children" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li id="cid_43" class="form-input-wide"> <div class="form-header-group"><h3 id="header_43" class="form-header">Which Chanukah events will you be joining?</h3></div> </li><li class="form-line" id="id_42"><div class="form-label-left" id="label_42"><label for="input_42"> MAIN CHANUKAH EVENT! </label><label class="label-message" for="input_42"> </label></div><div id="cid_42" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_42_0" name="q42_input42[]" value="GRAND MENORAH LIGHTING!! •  Night 8 	•	Date: SUNDAY Dec 21 	•	Location: The Ritz Carlton 	•	Time: 4:30 PM" /><label id="label_input_42_0" for="input_42_0"><span>GRAND MENORAH LIGHTING!! •  Night 8 	•	Date: SUNDAY Dec 21 	•	Location: The Ritz Carlton 	•	Time: 4:30 PM</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> OTHER CHANUKAH EVENTS </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_0" name="q28_input28[]" value="Night 1 	•	Date: Dec 14 	•	Location: Special Location (rsvp for location)" /><label id="label_input_28_0" for="input_28_0"><span>Night 1 	•	Date: Dec 14 	•	Location: Special Location (rsvp for location)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_1" name="q28_input28[]" value="Night 2 	•	Date: Dec 15 	•	Location: The Rock House Resort 	•	Time: 4:30 PM" /><label id="label_input_28_1" for="input_28_1"><span>Night 2 	•	Date: Dec 15 	•	Location: The Rock House Resort 	•	Time: 4:30 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_2" name="q28_input28[]" value="Night 3 	•	Date: Dec 16 	•	Location: Crest &amp; Berry, Grace Bay Road 	•	Time: 4:30 PM" /><label id="label_input_28_2" for="input_28_2"><span>Night 3 	•	Date: Dec 16 	•	Location: Crest &amp; Berry, Grace Bay Road 	•	Time: 4:30 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_3" name="q28_input28[]" value="Night 4 	•	Date: Dec 17 	•	Location: The Wymara Resort 	•	Time: 4:30 PM" /><label id="label_input_28_3" for="input_28_3"><span>Night 4 	•	Date: Dec 17 	•	Location: The Wymara Resort 	•	Time: 4:30 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_4" name="q28_input28[]" value="Night 5 	•	Date: Dec 18 	•	Location: Grace Bay Club Infiniti Lounge 	•	Time: 4:30 PM" /><label id="label_input_28_4" for="input_28_4"><span>Night 5 	•	Date: Dec 18 	•	Location: Grace Bay Club Infiniti Lounge 	•	Time: 4:30 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_5" name="q28_input28[]" value="Night 6 	•	Date: Dec 19 	•	Location: Menorah lighting @ Chabad 	•	Time: 5:00 PM" /><label id="label_input_28_5" for="input_28_5"><span>Night 6 	•	Date: Dec 19 	•	Location: Menorah lighting @ Chabad 	•	Time: 5:00 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_28_6" name="q28_input28[]" value="Night 7 	•	Date: Dec 20 	•	Location: Aziza Lounge Rooftop 	•	Time: 6:30 PM" /><label id="label_input_28_6" for="input_28_6"><span>Night 7 	•	Date: Dec 20 	•	Location: Aziza Lounge Rooftop 	•	Time: 6:30 PM</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_44" class="form-input-wide"> <div class="form-header-group"><h2 id="header_44" class="form-header">3. Optional Chanukah Sponsorship:</h2><div id="subHeader_44" class="form-subHeader">Participation in all Chanukah events is free of charge. Please consider making a donation to help cover the costs of these and other wonderful and vital programs offered by Chabad of Turks &amp; Caicos.</div></div> </li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Chanukah Sponsorship Opportunities </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_0" name="q32_input32" value="$180 Sufganiyot Sponsor" /><label id="label_input_32_0" for="input_32_0"><span>$180 Sufganiyot Sponsor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_1" name="q32_input32" value="$360 Dreidel Sponsor" /><label id="label_input_32_1" for="input_32_1"><span>$360 Dreidel Sponsor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_2" name="q32_input32" value="$540 Menorah Sponsor" /><label id="label_input_32_2" for="input_32_2"><span>$540 Menorah Sponsor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_3" name="q32_input32" value="$1000 Chanukah Event Co-Sponsor" /><label id="label_input_32_3" for="input_32_3"><span>$1000 Chanukah Event Co-Sponsor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_4" name="q32_input32" value="$1800 Chanukah Event Sponsor" /><label id="label_input_32_4" for="input_32_4"><span>$1800 Chanukah Event Sponsor</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_32_5" name="q32_input32" value="$3600 Double Chanukah Event Sponsor" /><label id="label_input_32_5" for="input_32_5"><span>$3600 Double Chanukah Event Sponsor</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_41"><div class="form-label-left" id="label_41"><label for="input_41"> Other amount </label><label class="label-message" for="input_41"> </label></div><div id="cid_41" class="form-input"> <div class="form-single-column"><span class="form-radio-item simple-mode"><label id="label_input_41" for="input_41"><span>$ USD</span></label><input type="number" class="form-textbox" id="input_41" name="q41_input41" value="" onkeypress="validateNumber(event)" /></span><span class="clearfix"></span></div> </div></li><li id="cid_46" class="form-input-wide"> <div class="form-header-group"><h2 id="header_46" class="form-header">4. Payment:</h2></div> </li><li class="form-line" id="id_45"><div class="form-label-left" id="label_45"><label for="input_45"> Total </label></div><div id="cid_45" class="form-input"> <div id="total_amount">$0.00 USD</div> </div></li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Payment Method </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_1_creditCard" name="q1_paymentMethod[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_1_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_1_paypal" name="q1_paymentMethod[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_1_paypal">Paypal</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q1_paymentMethod[cc_type]" id="input_1_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q1_paymentMethod[cc_number]" id="input_1_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_1_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q1_paymentMethod[cc_ccv]" id="input_1_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_1_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q1_paymentMethod[cc_nameOnCard]" id="input_1_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_1_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q1_paymentMethod[cc_exp_month]" id="input_1_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_1_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q1_paymentMethod[cc_exp_year]" id="input_1_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_1_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. 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		<span class="footer-title" >Chabad of Turks & Caicos Islands</span>
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