RESERVATIONS
Community Shavuot Celebration
Friday, May 29, 2009


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

Additional guest in your party: 

 We're old friends -You have my information!(skip next section)


Address:
City:
State:
Zip:
Phone No:

Fees & Sponsorship

Adult $18

Child (5-11) $12 

Family $72

I would like to be a sponsor $136
(includes 2 reservations)

  Other donation amount

In honor memory of:

All contributions are tax-deductible.

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

CVV Security Code:

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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