Yes, I would like to join you for Rosh Hashana dinner!Full Name*First NameLast NamePhone Number*Area CodePhone NumberE-mail*AdultsChildren / StudentsI can't afford payment at this point. I hope to pay in the futureI / We will also join you for meals at Chabad (free of charge) for1st day RH meal2nd night RH dinner2nd day RH mealI would like to pay for the other meals / someone who can't afford payment$15$30$180$1000Total$0.00Payment detailsCredit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2019202020212022202320242025202620272028Expiration YearCommentsPlease write here all names of people coming with youShould be Empty: Submit This page uses TLS encryption to keep your data secure.
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