1. Information: Full Name* First Name Last Name Phone Number* E-mail* 2. Reservation: Meal(s) Attending Friday Dinner - Sep 25Shabbat Lunch - Sep 26Night 2 Dinner - Sep 26Sunday Lunch - Sep 27 Atendees - Friday Dinner - Sep 25 $75 pp Atendees - Shabbat Lunch - Sep 26 $75 pp Atendees -Night 2 Dinner - Sep 26 $75 pp Atendees - Sunday Lunch - Sep 27 $75 pp Guests Attending* Please provide the names of the guests attending for security purposes 3. Optional Donation:Our Chabad House is open to all! We warmly encourage you to join in our activities and create an amazing ripple effect. As we dedicate our efforts to making all feel at home, your kind support enables us to make a special impact. Your donation is our source of support and allows us not only to keep Chabad open, but to make it thrive! Thank you! $180$360$540$1000$1800 4. Payment: Total $0.00 Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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