This is a secure form. (Uses 128 Bit SSL Encryption to protect credit card numbers.) I would like to attend the Teen Sukkot Party Name: Address: City: State: Zip: Phone: Email: How many attending?($10 per person) I would like to pay by check* I would like to pay by Credit Card I would like to pay at the door Please Charge my Credit Card: VISA MasterCard Discover American Express Card No. Exp:mm/yyyy / How did you hear about this event? *Please make checks out to Chabad Jewish Center and mail to 3048 Valley Road, Basking Ridge, NJ, 07920 If you have any questions or concerns please contact our office at (908) 6048844 x229 This page uses 128 bit SSL encryption to keep your data secure.