This form is currently closed. Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Chai Club Member Chai Club Free Yes Adults $15 per adult 1 Adult = $152 Adults = $303 Adults = $454 Adults = $60 Children $10 per person 1 Child $102 Children $203 Children $304 Children $40 Adults Free 1 Adult2 Adults3 Adults4 Adults Children Free 1 Child2 Children3 Children4 Children Names of Attendees: Co-Sponsor Thank you in advance! $54$100$180$360$500$1000 Total $0.00 Payment Option: Credit Card Check/Cash 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 Month2026202720282029203020312032203320342035 Expiration YearPlease mail check to:Chabad of Chula Vista2086 Otay Lakes Rd #101Chula Vista, CA 91913 Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.