RSVP: Teen Shabbat Dinner | October, 27 2023 Parent Name First Name Last Name Teen Name* First Name Last Name Phone Number* Area Code Phone Number E-mail Dietary Needs Vegetarian Sponsorship Sponsorship I would like to be a Co-Sponsor $180 Honor / Memory In Honor of...In Memory of... Details Payment Information Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Credit Card Check 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 Month2023202420252026202720282029203020312032 Expiration YearPlease send your check to:Chabad of Contra Costa1671 Newell Ave. Walnut Creek, CA 94595 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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