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Holidays @ Chabad Event Reservation and Payment Form

Event Reservation and Payment Form

Event Reservation Form
Chabad of Putnam

For more information about our events Click here
Any Questions? Call our office at (845) 225-4770
Event Name*
Number of participants*
Contact Information
Full Name*
First NameLast Name
E-mail*
I would like to receive news and updates by email
Phone Number*
Area CodePhone Number
Payment Options
Event FeeTOTAL fee for ALL Participants or optional donation
$0
Event SponsorPlease use the notes below if there is someting in particular you would like to sponsor
$18$54$72$100$180$360
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal Other

Postal / Zip Code

Country

Notes
Should be Empty:

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