Contact Information Full Name* First Name Last Name E-mail* I would like to receive news and updates by email Phone Number* Reservation Meal(s) Attending Sukkot Wednesday Dinner - October 16Thursday Lunch - October 17Thursday Dinner - October 17Friday Lunch - October 18Friday Dinner - October 18Shabbat Lunch - October 19 Meal(s) Attending Shemini Atzeret / Simchat Torah Wednesday Dinner - October 23Thursday Lunch - October 24Hakafot Dinner - October 24Friday Lunch - October 25Friday Dinner - October 25Shabbat Lunch - October 26 October 16 Dinner - Number of Attendees $85 per person October 17 Lunch - Number of Attendees $60 per person October 17 Dinner - Number of Attendees $85 per person October 18 Lunch - Number of Attendees $60 per person October 18 Dinner - Number of Attendees $85 per person October 19 Lunch - Number of Attendees $60 per person October 23 Dinner - Number of Attendees $85 per person October 24 Lunch - Number of Attendees $60 per person October 24 Dinner - Number of Attendees $85 per person October 25 Lunch - Number of Attendees $60 per person October 25 Dinner - Number of Attendees $85 per person October 26 Lunch - Number of Attendees $60 per person Guests Attending* Please provide the names of the guests attending for security purposes Our Chabad House is open to all! We warmly encourage you to join in our activities and create an amazing ripple effect. As we dedicate our efforts to making all feel at home, your kind support enables us to make a special impact. Your donation is our source of support and allows us not only to keep Chabad open, but to make it thrive! Thank you! Amount $360 USD$540 USD$770 USD$1800 USD Payment Total Charge $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Year Paypal has been selected. Payment will take place on the next page. Billing Address Street Address City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.