Reservation Form Below Banner

kumitz cafe chabad.jpg

 

*To view past Cafe Chabad events click here

Reservation Information:

About You: How Many People Attending
First Name: *  



How Many Guests?
($18/person, $30/couple)

Last Name: *   Yes! I would like to be an
Evening Sponsor for $100
(Includes two tickets)
      Total Payment
Phone:

Credit Card Info:

E-Mail: *   Name on Card:
Address:   Address:
State:   City, State and Zip:
City   Credit Card Number:
Zip:   Exp. Date (mm/dd/yyyy)

Pay By Check. (Mail to Chabad of Laguna Niguel 27631 La Paz Rd. Laguna Niguel, CA 92677)