RESERVATIONS
Community Passover Seder
Monday, March 29, 2010


Personal Information:
Title:  
Last Name:
First Name:
Email:

Additional guest in your party: 

Address:
City:
State:
Zip:
Phone No:

Fees:

Adult $36

Child (5-11) $18 

Family $126

I request a vegetarian option

 

I would like to be a co-sponsor $180
(includes 2 tickets)

I would you like to help a person, couple or family that cannot afford to attend our Seder?

 One person ($36)    Couple ($72)   Family ($126)

  Other donation amount

In honor memory of:

All contributions are tax-deductible. 

Payment Information:
Card Type:
Name on Card:
Card No:

CVV Security Code:

  What's This?
Expiration Date:  

Total Amount:

  

Comments:


 I will be mailing a check to Chabad Jewish Community Center, 3579 Arlington Ave., Suite 100, Riverside, CA 92506

 I would like to be added to the mailing list