Family Shabbat Experience | www.chabadsa.org

Your Information

First Name *

Last Name *

Street Address

City

Country

State

Postal Code

Email Address *

Phone

Name of person(s) you are going with (if any):

How many adults?

How many children?

0 - 4 years old (Mommy & Me)

5 - 12 years old (Kid's Shul)

13 years old & above (Teen Club)

Sponsorship:

$36

$54

$108

$180

- none -

Other amount:

Total

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My billing address is the same as above

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Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

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Postal Code *

Chabad Center for Jewish Life & Learning

info@chabadsa.com | 210-764-0300 | 14535 Blanco Rd.

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