Full Name* First Name Last Name E-mail* Number of registrants:* 1 - $182 - $30 Couples Discount I'd like to join as a sponsor: Event Sponsor: $500Food Sponsor - $150Wine Sponsor - $75 My sponsorship is: In Honor ofIn Memory of Dedication details: Total $0.00 Payment Credit Card I am mailing a 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 Month2023202420252026202720282029203020312032 Expiration YearMailing Address:Chabad of Fremont - 4251 Peralta Blvd, Fremont, CA 94536 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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