Full Name* First Name Last Name E-mail* Date of Event Month Day Year NON MEMBERS- Amount of space you'd like Select One1 Room (15-30 People) $4002 Rooms (30-60 People) $7003 Rooms (60-100 People) $1000 MEMBERS 50% OFF- Amount of space you'd like Select One1 Room (15-30 People) $2002 Rooms (30-60 People) $3503 Rooms (60-100 People) $500 Rent The Chabad Annex Select OneEntire Space (20-40 People) Total $0.00 Payment* Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2023202420252026202720282029203020312032 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.
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