Full Name* First Name Last Name E-mail* Date of Event Month Day Year NON MEMBERS- Amount of space you'd like Select One 1 Room (15-30 People) $400 2 Rooms (30-60 People) $700 3 Rooms (60-100 People) $1000 MEMBERS 50% OFF- Amount of space you'd like Select One 1 Room (15-30 People) $200 2 Rooms (30-60 People) $350 3 Rooms (60-100 People) $500 Rent The Chabad Annex Select One Entire Space (20-40 People) Total $0.00 Payment* 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 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Submit Clear Form 100% of the proceeds of this donation or payment benefit Chabad of the West Side, EIN 11-2735027. Should be Empty: This page uses TLS encryption to keep your data secure.