Reservations Full Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Adults:* 123456789 Children 123456789 Suggested Donation:$60 Adults | $25 Children | $250 Matzah Sponsor | $360 Wine Sponsor | $540 Seder Sponsor | $1,000 Passover SponsorNo one will be turned away due to lack of funds Total Amount $ Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2023202420252026202720282029203020312032 Expiration YearPaypal has been selected. Payment will take place on the next page.Checks can be made payable to:Chabad of Islip49 Union AveIslip, NY 11751 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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