Rosh Hashana Dinner

at Chabad on Carlisle - Jewish Russian Centre

Sunday 29 September 2019-7:00 pm

Simply complete the form below and click the button to submit your Rosh Hashana dinner payment.

*denotes a required field

Person 1
Title

First Name*

Last Name*
Gender Male Female
Email Address*
   

Payments:

$55.00 per adult:

$25.00 per child:

$180.00 Sponsor (Includes 1 ticket): Please tick

Please provide us with the names of all additional persons included in your Rosh Hashana Dinner payment:

Person 2

Title

First Name : Last Name :

Male Female

Person 3

Title

First Name : Last Name :

Male Female

Person 4

Title

First Name : Last Name :

Male Female

Payment by Credit Card

Total: $

Card Type*

Card Number*

Expiration Date* CCV Security Code*

Please click submit only once.
Please wait for the acknowledgement message that your information was received and we will have your name on the list at the door.