Seder RSVP

Wednesday, April 5th at 6:30 PM
Chabad Jewish Community Center

SEDER RESERVATION FORM

Please consider making a donation to bring holiday joy to people in-need and to ensure that everyone in our community can participate in the seder.

If you or someone you know has trouble paying please don't hesitate to contact us, we will be happy to assist. If you have any questions or would like to make a reservation over the phone, please call us at 951-222-2005.
Your Info
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Reservation Type & Donation
RSVP Options*

Pay per Person - $50 Adults / $25 Children / Free for StudentsPay per Family - $190Wine Sponsor $180 - Includes 2 reservationsMatzah Sponsor $360 - Includes 3 reservationsSeder Sponsor $540 - Includes 4 reservations
Optional Donation

$
Your Reservation
Adults $50 per guest
Children $25 per guest
Students Free
Adults
Children
Guest 1
Full Name

First Name Last Name
Guest 2
Full Name

First Name Last Name
Guest 3
Full Name

First Name Last Name
Guest 4
Full Name

First Name Last Name
Additional Reservations
Do you need additional reservations?

YesNo
Adults $50 per guest
Children $25 per guest
Students Free
Please provide the full name of all adults in this reservation:
Adult 1

First Name Last Name
Adult 2

First Name Last Name
Adult 3

First Name Last Name
Adult 4

First Name Last Name
Adult 5

First Name Last Name
Please provide the full name of all children in this reservation:
Child 1

First Name Last Name
Child 2

First Name Last Name
Child 3

First Name Last Name
Child 4

First Name Last Name
Child 5

First Name Last Name
Please provide the full name of all UCR students in this reservation:
Student 1

First Name Last Name
Student 2

First Name Last Name
Payment Info
Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

Will anyone in this reservation like to request a vegetarian meal?

YesNo
How many Vegetarian Meals?
Anything else we should know? Allergies, Special Accommodations...
Should be Empty:

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Holiday Date

Your Info

Reservation Type & Donation

Your Reservation

Additional Reservations

Payment Info