Seder Reservations Form

Name: *

Phone Number: *

Email Address: *

Address*:

City*: State*: Zipcode*:

First Seder- Friday Eve, April 19th, 2019-7:30pm

Number of Adult: x $45.00 per person =

Number of Children: x $30.00 per person =

Names of everyone attending and ages of children*: (e.g. David Weiss, Roza Weiss, Chaya Weiss...)

 

2nd Seder- Saturday night, April 20th, 2019-8:00pm

Number of Adult:  x $45.00 per person = 

Number of Children:  x $30.00 per person = 

Names of everyone attending and ages of children*(e.g. David Weiss, Roza Weiss, Chaya Weiss...)

 

Sponsor someone at the Seder $45
Silver Sponsor $500

Gold Sponsor $1800

Total Amount To Pay: *

 

I would like to pay for the Seder by:

Check Credit Card

If paying by check, please mail to Chabad, 15405 Los Gatos Blvd Suite 204. Los Gatos CA 95032.

Payment

Method:  Visa  Master Card  Amex
Credit Card Number

Expiration Date:xx/xx:

Security Code :

Comments: