Scroll down to RSVPReservationsAmount of Attendees*12345678910Full Name*First NameLast NameE-mail*Phone NumberArea CodePhone NumberNames of attendeesI would like to be a:Event & Passover co sponsor for $180 (includes VIP tickets for 2 + 2 bottles of premium seder wineAmount to charge*$Payment*Credit Card Paypal Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2019202020212022202320242025202620272028Expiration YearPaypal has been selected. Payment will take place on the next page.Please mail check to: Chabad of Islip 102 E Main St Bay Shore, NY 11706SubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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