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Community Shabbat Dinner
 
First Name:
Last Name:
*E-Mail:
We're old friends - You have my information! (skip next section)
Personal Information
Address:
City: State:
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RSVP
Adults - $18
Children (3-13yrs) - $8
(After Wednesday: adults $23, children $13.)

Shabbat Dinner Sponsor $100 (Includes two tickets)
YES! I'd like to attend the Shabbat Dinner!
Adults: Children:
No, I can't attend, but I'd like to be a Shabbat Dinner Sponsor! (skip to payment section)
Additional guests in your party
                    
Please do not bring any payment on shabbat.
I'd like to make a payment in the amount of: $
Comments/Additional Guests:
Payment Type
I'd like to pay by check*. Please print out this page, or download a PDF and mail. Write "Shabbos Dinner" under Comments.
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  *Please make checks out to 'Chabad of Laguna Niguel'.
Mail to:
Chabad of Laguna Niguel
27631 La Paz Rd #D
Laguna Niguel, CA 92677
I'd like to pay by credit card using the secure form below.
(Our secure form uses 128 Bit SSL Encryption for your protection)
I'd like to pay by credit card on file.

Last 4 digits of card: (Scroll to the bottom of the page and click "submit".)
Billing Information
Check box if Billing & Personal Information are the same.
First Name:
Last Name:
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Payment Information
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Total Amount: $