
Contact information:
Last Name
First Name
Address
Phone number
Email address
Adults will attend
Children will attend
Cost:
$36.00 - Per Adult
$18.00 - per Child
Sponsorship:
Individual Sponsors: $72.00 (includes 1 attendance)
Corporate Sponsors: $108.00 (includes 2 attendance)
Payment:
I will be paying by:
Amex Mastercard Visa Discover
Total amount
Card Number
Expiration Date (MM/YYYY) - Must be filled out in this format
First Name on card
Last Name on card
CVV Security Code
What's This?
Security: The Chabad Center uses technology that encrypts all information from the end-user to the web server. This is known as SSL encryption. In fact we use the highest form of this encryption, 128 bit SSL encryption. Secure pages are identified by the "lock" icon in your browser and by the web address beginning with "https://"
Questions or comments
For information please contact us at
856-874-1500 or email
[email protected]
For Men's Club Mission Statment
click here
