google7763d8541a777e36.html
Printed from chabadatlacosta.com

Sedarim Sign Up Form

Sedarim Sign Up Form

Community Seder Sign Up Form

Pesach Community Sedarim Sign Up Form
Fill out the form below to join us for our Community Seder!
* Denotes required field
* Children are 3 to 12 years of age
Number of Participants
Adults
Children
Night You Will Join us
Monday, April 10th
Tuesday, April 11th  
Pricing
Adult $36 Locals each $54 Guests each
Child $18 each (3 to 12 years of age)
Family Please call for family pricing
I would like to pay the following amount:

$ US
Family Information
Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Post Code*
Country*
Phone
This is my home business address.
Click here to make a payment.
Sponsorships 
  • Sponsor the Seder for $180
  • Be a Patron for $360 

 

Acknowledgement
Email Address*
Reconfirm Email Address*

 

Please click submit only once.
Please wait a few seconds for acknowledgement online that your information was received.