I want to make a reservation for an event I want to make a contribution or payment of: $ US Type of Activity-Class-Event-reservation or sponsorship Chai Club Elisa Price Jewish burial Year End Campaign Jewish Women's Circle Chanukah Grand Menorah Lighting Shabbos Kiddush Hebrew School (for Children) Other (Please, use the blank below) Jewish Art Calendar ad Rosh Hashana Services Rosh Hashana Meal Susan Shapiro Jewish Educational Fund Yom kipur services Yom Kipur Break -fast Sukkot meal -first night Pesach Seder Pesach-Sell Chametz Good Shabbos Email Pesach-Moshiach Seudah Shavuos Dairy Extravaganza Kabbalah & Coffee Turn Friday Night into Shabbat Hebrew for Adults Honey Making Demonstration A Taste of Tradition Shabbat 100 Shavout Chinese Dinner & Game Night Breakfast & a Movie Sushi in the Sukkah Jewish Kids Club Pizza in the Hut Simchas Torah BBQ Teen Program Farbrengen Adult Education Bar/Bat Mitzvah Purim Lag B'Omer Please, Complete the E-Form In Participation of Make a payment of an activity, class, or event. In Memory of Make a donation in memory of a deceased family member or friend. In Honor of Make a donation in honor of someone, or to celebrate a joyous occasion-event-celebration-activity. Other Activity-Class-Event-Sponsorship: Sponsorship of an Activity, Event, Fundraiser, or Special Celebration Class Annual Event Special Celebration Activities with Dinners-Festive Galas (including in Rosh Hashanah, Sukkot, Purim, Pesach-Passover Seder as well as "Turn Friday Night into Shabbat") Number of Attendees: - 1 2 3 4 5 6 7 8 9 10 Other Adult - 1 2 3 4 5 6 7 8 9 10 Other Child (only for RSVP with Payment) Comment: Contact Info. Title: - Mr. Mrs. Ms. Mr. & Mrs. Dr. Drs. Dr. & Mrs. Mr. & Dr. Chaplain Rabbi Rabbi & Mrs. The Honorable First Name*: Last Name*: Address* (Billing): City*: State*: Zip Code*: Country*: Phone*: Credit Card Detail Card Type*: VISA Master Card American Express Discover Card Number*: Expiration Date*: Month - 01 02 03 04 05 06 07 08 09 10 11 12 Year - 2020 2021 2022 2023 2024 2025 2026 2017 CVV Acknowledgment Email Address* Reconfirm Email Address* You may acknowledge my gift to my email address Please acknowledge my gift by mail. Please contact me to discuss additional giving opportunities. Chai Club - Monthly Recurring Donation: Yes! I would like to enroll into the Chai Club Circle of Giving! Please charge the above amount to my credit card each month for the next twelve months. To learn more about the Chai Club, click here . PRIVACY POLICY This page uses 128 bit SSL encryption to keep your data secure.