This is a secure form. (Uses 128 Bit SSL Encryption to protect credit card numbers.) Join the Salsa Cook Off I would like to participate in the Megillah & masquerade, March 15 (NO CHARGE) I would like to participate in the Mexican Purim Fiesta Sunday, March 16 Name Address: City: State: Zip: Phone: Email: How many attending Sunday party?($10 per person) Family. how many peopel attending?($40 per family) I Would you like to be an Event Sponsor for only $150. Please Charge my Credit Card: I would like to pay with a Check Please make Check out to Chabad. VISA MasterCard Discover American Express Card No. Exp:mm/yyyy / How did you hear about this event? Thank you for your generous support. All contributions are tax deductible. If you have any questions or concerns please contact our office at (908) 6048844 x101 This page uses 128 bit SSL encryption to keep your data secure.
