Community Sukkos Meal

Wednesday, October 4th

Mincha - 6:20  p.m. 

 Followed by a community meal


First Name:

Last Name:

Address:

City:

State:

Zip:

Phone #:

Email

Number of people attending:

Per Person: Members $18 Dollars Non Member $28

Per Child (age 3-10)   Members $12,  Non Member $18

Payment information

I will pay with a credit card     check/cash

Billing Information
Credit Card Type
Card Number
Expiration Date

Security Code



 

Signature of name on card

Total  $  

*Please mail check to the Chabad Center 194 Ratzer Rd Wayne NJ 07470 in time for it to arrive at least 3 days before the event.