Full Name*First NameLast NameE-mail*Phone NumberArea CodePhone NumberNumber of Attendees:*123456Names of Attendees:I would like to contribute towards Kiddush Lunch!SponsorshipPlease consider sponsoring or co-sponsor the Shabbat Kiddush$180$100$50PaymentCredit Card Paypal Check/Cash Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2021202220232024202520262027202820292030Expiration YearPaypal has been selected. Payment will take place on the next page.Please mail check to: Chabad of Chula Vista 1910 Harrils Mill Ave Chula Vista, CA 91913Comments/FeedbackSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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