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Event Registration Form

Event Registration Form

 

 

 Community Shabbat Dinner


Name (First and Last name)
Address
City, State, Zip
Phone
Email
 # of attendees  

Suggested Donation: $10 per person;                Sponsor $54          

No one turned away due to lack of funds.  Please donate whatever you are able to.
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 Payment form (Secure form)

Name as it appears on credit card                                    
I will be paying by Cash/Check Credit Card 

To pay by check please make check payable to Chabad Jewish Center and mail it to:    Chabad Jewish Center of Northern Colorado    P.O. Box 271756 - Fort Collins, CO 80527

Credit Card #
Card Type
Expiration
Amount
To help defray your processing costs, please add 3% to the cost as an added gift.  
Security code (CVV)
Comments


 

 

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