Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Zip Code # of Adults* 123456789 # of Children 123456789 Dinner is free, Donations Appreciated 365472Part Sponsor - $118Co-Sponsor $180Torah Sponsor - $360 Total $0.00 Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Please send your check to Chabad of Pinellas County 3696 Fisher Rd.Palm Harbor, FL 34683 Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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